Provider Demographics
NPI:1508585902
Name:LANTERN ADVISORS, INC
Entity Type:Organization
Organization Name:LANTERN ADVISORS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:ST JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MPH RDN CEDRD-S
Authorized Official - Phone:530-312-0603
Mailing Address - Street 1:PO BOX 296
Mailing Address - Street 2:
Mailing Address - City:RUNNING SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92382-0296
Mailing Address - Country:US
Mailing Address - Phone:530-312-0603
Mailing Address - Fax:
Practice Address - Street 1:4287 VERDUGO RD # 3
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065-4700
Practice Address - Country:US
Practice Address - Phone:323-379-5910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty