Provider Demographics
NPI:1487985958
Name:LANTOR, HERBERT ALAN (DPM)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:ALAN
Last Name:LANTOR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6146 DUNMORE DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2215
Mailing Address - Country:US
Mailing Address - Phone:248-891-1981
Mailing Address - Fax:248-855-9615
Practice Address - Street 1:6146 DUNMORE DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2215
Practice Address - Country:US
Practice Address - Phone:248-891-1981
Practice Address - Fax:248-855-9615
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-24
Last Update Date:2010-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901000599213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist