JERRY ALLAN LANTZ O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1407842529- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 2014 DUDLEY AVE, PARKERSBURG, WV, 261013405
- Phone
- (304) 422-1841
- Fax
- (304) 865-0592
Specialties & Taxonomies
Optometrist
Primary License: WV #779-D
All Addresses
MAILING
1950 OLD GALLOWS RD STE 520
VIENNA, VA, 221823970