MEDICARE: LANZI AZURE SINAISE MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	58030	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	INPROCESS	OTHER	TN	TN MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1851787907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANZI AZURE SINAISE MD

Provider Business Mailing Address
First Line	:	300 20TH AVE N STE 403
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203
Country	:	US
Telephone Number	:	615-230-8070
Fax Number	:	615-452-1774

Provider Business Practice Location Address
First Line	:	300 STEAM PLANT RD STE 300
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-0011
Country	:	US
Telephone Number	:	615-230-8070
Fax Number	:	615-452-1774

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

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	09/28/2018

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Directions to “ LANZI AZURE SINAISE MD” Practice Location

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