# AMBULATORY ANESTHESIOLOGY, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053583716
- **Authorized official:** DR. MARK LANZEROTTE M.D. (PRESIDENT)
- **Authorized official phone:** (309) 585-0283

## Contact information

- **Practice address:** 3801 IRELAND GROVE RD, BLOOMINGTON, IL 61704
- **Practice address phone:** (309) 664-0101
- **Mailing address:** PO BOX 489, BLOOMINGTON, IL 61702-0489
- **Mailing address phone:** (309) 585-0283
- **Mailing address fax:** (309) 585-0283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 04/06/2022