Lisa W. Gantner M.D.

NPI 1033150149 - Family Medicine - 207Q00000X

NPI Details
NPI 1033150149
Gender Female
Enumeration Date 06/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7901 VETERANS PKWY
COLUMBUS GA, 31909-1723, US
Phone (706) 321-1223
Fax
Business Location
14050 NW 14TH ST
SUITE 190
SUNRISE FL, 33323-2865, US
Phone (800) 424-3672
Fax (954) 377-3042
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 027690
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According to our database, Dr. Lisa W. Gantner M.D. NPI is 1033150149, taxonomy code is 207Q00000X and license number is 027690, license state is located at Georgia. Lisa W. Gantner M.D. physically located at 7901 Veterans Pkwy, Columbus GA, 31909-1723. NPI Number Lisa W. Gantner M.D. has the Individual type.

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1033150149 NPI number is provided on an as is basis without warranty of any kind. 1033150149 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa W. Gantner M.D. are for informational purposes only.