Wellformed AI

NPI 1619040359 · live from the CMS NPI Registry

Holly L Lantz, Au.D., F-AAA

Audiologist in Weston, WV. National Provider Identifier 1619040359, active.

NPI record

NPI1619040359 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location37 Garton Plz, Weston, WV 26452
Practice phone304-269-2435
Mailing addressPo Box 1291, Weston, WV 26452
EnumeratedNovember 17, 2006
Last updatedMarch 29, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist primary231H00000XA-0192 (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.