Contract Details
Lantz Medical, Inc.
Facility name
Lantz Medical
Provider ID
P000009407
NPI
1629037304
Tax ID
203319340
Effective Date
9/9/2019
Last Updated
3/30/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_431
Location Details
Address
7750 Zionsville Road Suite 800
Indianapolis, IN 46268
United States
County
Marion
Phone
8662368889 (Phone)
Billing Details
Address
7750 Zionsville Road
Suite 800
Indianapolis, IN 46268
Billing Phone
8662368889
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address