Provider Demographics
NPI:1376712752
Name:LANTUH, SVETLANA (DOM, AP, MD(RUSSIA))
Entity Type:Individual
Prefix:DR
First Name:SVETLANA
Middle Name:
Last Name:LANTUH
Suffix:
Gender:F
Credentials:DOM, AP, MD(RUSSIA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 CLARK RD STE H1
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2366
Mailing Address - Country:US
Mailing Address - Phone:941-955-0535
Mailing Address - Fax:
Practice Address - Street 1:3900 CLARK RD STE H1
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2366
Practice Address - Country:US
Practice Address - Phone:941-955-0535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2343171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist