Lanzo, Dominick Allan
Lanzo, Dominick Allan is an individual health care provider with primary practice located at 6565 N Charles St Suite 606, Baltimore MD 21204-6800. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Lanzo, Dominick Allan can be contacted via phone (443) 849-3838.Contact Information
Primary practice address
6565 N Charles St Suite 606
Baltimore MD 21204-6800
Phone: (443) 849-3838
Fax: (443) 849-3842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0039790 | Maryland |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D0039790 | Maryland |
Profile Details
| NPI number | 1205826807 |
|---|---|
| LBN Legal business name | Lanzo, Dominick Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Mar 20th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205826807 | NPPES |
| Maryland | MEDICAID | 113611900 |
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