Healthcare Provider Details

I. General information

NPI: 1043670904
Provider Name (Legal Business Name): CATHERINE L LANZER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHERINE L VOIT AU.D.

II. Dates (important events)

Enumeration Date: 03/04/2016
Last Update Date: 02/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 S PATTERSON BLVD SUITE 400
DAYTON OH
45402-2684
US

IV. Provider business mailing address

1222 S PATTERSON BLVD SUITE 400
DAYTON OH
45402-2684
US

V. Phone/Fax

Practice location:
  • Phone: 937-496-2600
  • Fax: 937-496-2610
Mailing address:
  • Phone: 937-496-2600
  • Fax: 937-496-2610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.01925
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: