Provider Demographics
NPI:1720052475
Name:LANTSMAN, KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:LANTSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BILLINGS LN
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2406
Mailing Address - Country:US
Mailing Address - Phone:917-859-2343
Mailing Address - Fax:
Practice Address - Street 1:20 PARK PLZ
Practice Address - Street 2:473
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-4303
Practice Address - Country:US
Practice Address - Phone:617-948-2577
Practice Address - Fax:617-344-0442
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237724207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine