Evan Lantzman
Orthotic Fitter in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1386833713
StatusActive
Last updated in NPPESSep 22, 2009
Details
- NPI
- 1386833713
- Entity type
- Individual (NPI-1)
- Name
- Evan Lantzman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2007
- Last updated
- Sep 22, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225000000X | Orthotic Fitter | – | – | Yes |
Practice location
3663 N Laughlin Rd Ste 103Santa Rosa, CA 95403-9067
Phone 707-528-7999
Mailing address
3663 N Laughlin Rd Ste 103Santa Rosa, CA 95403-9067
Phone 707-528-7999
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Orthotic Fitter providers in Santa Rosa, CA
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- Suzanne Pilegaard, CERTIFIED MASTECTOMYNPI 1659602423
- Amber PrattNPI 1578826400
All 5 Orthotic Fitter providers in Santa Rosa · All 8,142 providers in Santa Rosa
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