JACOB LANTER

Family Medicine

Active Individual
NPI: 1417419714

Practice Address

739 N JEFFERSON ST
Mascoutah, IL 62258

Phone: (618) 566-8810

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 036161533 (IL)
Student in an Organized Health Care Education/Training Program 390200000X No -

Frequently Asked Questions

NPI 1417419714 is the National Provider Identifier for JACOB LANTER, a Family Medicine provider located in Mascoutah, IL. This NPI was enumerated on April 4, 2019.
JACOB LANTER practices at 739 N JEFFERSON ST, Mascoutah, IL 62258.

Quick Facts

NPI
1417419714
Type
Individual
Enumerated
Apr 4, 2019
Last Updated
Aug 17, 2022

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