NPI Code Details Logo

NPI 1952219487

NPI 1952219487 : FABRICIA LANZETTI : JERSEY CITY, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952219487
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    FABRICIA LANZETTI
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/27/2026
-----------------------------------------------------
    Last Update Date     |    08/27/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    115 CHRISTOPHER COLUMBUS DR STE 300 
-----------------------------------------------------
    City                 |    JERSEY CITY
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07302-3551
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-366-1115
-----------------------------------------------------
    Fax                  |    201-366-1117
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    188 JEFFERSON ST APT 156 
-----------------------------------------------------
    City                 |    NEWARK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07105-1622
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225700000X
-----------------------------------------------------
    Taxonomy Name        |    Massage Therapist
-----------------------------------------------------
    License Number       |    18KT01120900
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.