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JACOB LANTER
Family Medicine Physician
NPI: 1417419714IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
036161533(IL)
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
CMS Specialties
PrimaryFAMILY PRACTICE
Education
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Class of 2019
Contact & Hours
- Address
- 739 N JEFFERSON ST, SUITE 200
MASCOUTAH, IL 62258 - Phone
- (618) 566-8810
Quick Facts
- NPI
- 1417419714
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
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