Provider Demographics
NPI:1467747865
Name:LANTZ, ZOE ANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZOE
Middle Name:ANNE
Last Name:LANTZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ZOE
Other - Middle Name:ANNE
Other - Last Name:LAYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:860 KEMPSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3920
Mailing Address - Country:US
Mailing Address - Phone:804-239-5927
Mailing Address - Fax:
Practice Address - Street 1:860 KEMPSVILLE RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3920
Practice Address - Country:US
Practice Address - Phone:757-461-4565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202209294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist