Healthcare Provider Details
I. General information
NPI: 1326313453
Provider Name (Legal Business Name): ASHLEY FOSTER LANZEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/22/2012
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US
IV. Provider business mailing address
111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US
V. Phone/Fax
- Phone: 888-884-2327
- Fax:
- Phone: 888-884-2327
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | D0084879 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0207X |
| Taxonomy | Pediatric Hematology & Oncology Physician |
| License Number | MD047853 |
| License Number State | DC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD047853 |
| License Number State | DC |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080H0002X |
| Taxonomy | Pediatric Hospice and Palliative Medicine Physician |
| License Number | D0084879 |
| License Number State | MD |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0207X |
| Taxonomy | Pediatric Hematology & Oncology Physician |
| License Number | D0084879 |
| License Number State | MD |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080H0002X |
| Taxonomy | Pediatric Hospice and Palliative Medicine Physician |
| License Number | MD047853 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: