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Selena Anne Lantry, M.d., Inc
Specialist in Glendale, California
NPI 1053614404

Selena Anne Lantry, M.d., Inc is a Specialist based in Glendale, CA. Selena Anne Lantry, M.d., Inc practices in Glendale, CA. The NPI Number for Selena Anne Lantry, M.d., Inc is 1053614404 and holds a License No. G55968 (California).

The current practice location address for Selena Anne Lantry, M.d., Inc is 1505 Wilson Ter Ste 130, Glendale, CA and can be reached out via phone at 818-247-2164.

Location: 1505 Wilson Ter Ste 130, Glendale, CA, 91206-4074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053614404
Provider Name
Selena Anne Lantry, M.d., Inc
Credential
Provider Entity Type
Organization
Address
1505 Wilson Ter Ste 130, Glendale, CA, 91206-4074
Phone Number
818-247-2164
Fax Number
Provider Enumeration Date
12/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G559681 05 CA
institution
Provider Business Practice Location Address Details
Address
1505 Wilson Ter Ste 130
City
Glendale
State
California
Zip
91206-4074
Phone Number
818-247-2164
Fax Number
person
Provider Business Mailing Address Details
Address
1505 Wilson Ter Ste 130
City
Glendale
State
California
Zip
91206-4074
Phone Number
818-247-2164
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G55968 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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