LISA M JANTZEN

HAMPTON MEDICAL CARE LLC

Dr LISA M JANTZEN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2010.

Contact

HAMPTON MEDICAL CARE LLC

200 PANTIGO PL
EAST HAMPTON
NY
119375920

Tel: 6313299300

LISA M JANTZEN Information

Npi 1770896409
Pac Id 0143115964
Professional Enrollment Id I20150826001869
Last Name JANTZEN
First Name LISA
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HAMPTON MEDICAL CARE LLC
Group Practice Pac Id 0244407385
Number Of Group Practice Members 6
Line 1 Street Address 200 PANTIGO PL
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST HAMPTON
State NY
Zip Code 119375920
Phone Number 6313299300
Hospital Affiliation Ccn 1 330393
Hospital Affiliation Lbn 1 SUNY/STONY BROOK UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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