Lanza, John J

Lanza, John J is an individual health care provider with primary practice located at 2315 W Jackson St , Pensacola FL 32505-7552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lanza, John J can be contacted via phone (850) 436-4630.

Contact Information

Primary practice address
2315 W Jackson St Pensacola FL 32505-7552
Phone: (850) 436-4630
Fax: (850) 436-2095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME50040 Florida

Profile Details

NPI number 1508829698
LBN Legal business name Lanza, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Aug 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508829698 NPPES
Florida Other 08899 BCBS
Florida MEDICAID 370453002 BCBS

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