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NPI Code Detail

MEDICARE: TERESA LANZA DI SCALEA

MEDICARE:   TERESA  LANZA DI SCALEA
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
12084P0800XPsychiatry PhysicianR4420TX

General Provider Information

NPI Number : 1659668671
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA LANZA DI SCALEA
Provider Business Mailing Address
First Line : 1701 TRINITY ST
Second Line :
City : AUSTIN
State : TX
Zip : 78712-1746
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1701 TRINITY ST
Second Line :
City : AUSTIN
State : TX
Zip : 78712-1746
Country : US
Telephone Number : 512-495-5132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 09/07/2017

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Directions to “ TERESA LANZA DI SCALEA ” Practice Location

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