Lanzisera, Philip J.

Lanzisera, Philip J. is an individual health care provider with primary practice located at Henry Ford Health System One Ford Place 1F -Behavioral, Detroit MI 48202. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lanzisera, Philip J. can be contacted via phone (313) 876-6677.

Contact Information

Primary practice address
Henry Ford Health System One Ford Place 1F -Behavioral Detroit MI 48202
Phone: (313) 876-6677
Fax: (313) 874-6650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301001788 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301001788 Michigan

Profile Details

NPI number 1093863680
LBN Legal business name Lanzisera, Philip J.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 15th, 2023 - about 3 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 1093863680 NPPES
Michigan MEDICAID PHD888810
Michigan Other PL001788
Michigan Other PL001788
Michigan Other 700H262290

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