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Organization
LANZA'S MEDICAL CENTER, LLC
Active
Organization
LANZA'S MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE R LANZA MD (PRESIDENT)
(732) 576-1600
Entity
Organization
Contact information
Practice address
240 MAPLE AVE, RED BANK, NJ 07701-1731
(732) 576-1600
Mailing address
240 MAPLE AVE, RED BANK, NJ 07701-1731
(732) 576-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NJ
Other
Enumeration date
03/15/2015
Last updated
11/06/2015
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