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NPI Code Detail

MEDICARE: ERIN LANZA

MEDICARE: ERIN LANZA
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
1222Q00000XDevelopmental Therapist
2235Z00000XSpeech-Language PathologistSZ 7587FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508147695
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LANZA
Provider Business Mailing Address
First Line : 6015 HARDROCK CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32819-4157
Country : US
Telephone Number : 352-514-1832
Fax Number :
Provider Business Practice Location Address
First Line : 14055 TOWN LOOP BLVD STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32837-6106
Country : US
Telephone Number : 407-857-6285
Fax Number : 407-857-9566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 01/18/2017

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Directions to “ ERIN LANZA ” Practice Location

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