Healthcare Provider Details

I. General information

NPI: 1003981358
Provider Name (Legal Business Name): WILLIAM LANZINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALLEN RD
STOW OH
44224-1070
US

IV. Provider business mailing address

4302 ALLEN RD
STOW OH
44224-1070
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-4263
  • Fax: 330-344-6038
Mailing address:
  • Phone: 330-344-4263
  • Fax: 330-344-6038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number35-088618
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: