MEDICARE: MARNIE ANNE LANCZ M. ED.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	77260	NV

General Provider Information

NPI Number	:	1477844603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARNIE ANNE LANCZ M. ED.

Provider Business Mailing Address
First Line	:	6465 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3070
Country	:	US
Telephone Number	:	702-556-3132
Fax Number	:	702-425-2787

Provider Business Practice Location Address
First Line	:	7495 W AZURE DR STE 254
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4416
Country	:	US
Telephone Number	:	702-556-3132
Fax Number	:	702-425-2787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2011
Last Update Date	:	06/20/2024

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