NPI 1588220016

Gabriel Lantz

Practitioner Health Educator Bloomington, IN

Practice location

Address: 2401 N Walnut St, Bloomington, IN 47404-2069
Phone: (812) 340-9129
Mailing address: 615 N Staats Dr, Bloomington, IN 47408-2737

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1588220016
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2019
Record last updated: 9 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.