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1013945344 NPI number — CHARLES FRANCIS LANZILLO JR.

NPI Number: 1013945344
Health Care Provider/Practitioner: CHARLES FRANCIS LANZILLO JR.

Information about “1013945344” NPI (CHARLES FRANCIS LANZILLO JR.) exists in 1013945344 in HTML format HTML  |  1013945344 in plain Text format TXT  |  1013945344 in PDF (Portable Document Format) PDF  |  1013945344 in an XML format XML  formats.

NPI Number : 1013945344 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013945344",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LANZILLO",
    "FirstName": "CHARLES",
    "MiddleName": "FRANCIS",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LANZILLO",
    "OtherFirstName": "CHARLES",
    "OtherMiddleName": "F",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "17 WELLS ST",
    "SecondLineMailingAddress": "SUITE 102",
    "MailingAddressCityName": "WESTERLY",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02891-2923",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-596-0339",
    "MailingAddressFaxNumber": "401-596-3437",
    "FirstLinePracticeLocationAddress": "17 WELLS ST",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "WESTERLY",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02891-2923",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-596-0339",
    "PracticeLocationAddressFaxNumber": "401-596-3437",
    "EnumerationDate": "06/28/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": "6503",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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