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Individual
COLLEEN H LANZA
Active
Individual
COLLEEN H LANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000436
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4137940
AETNA
CT
01
—
436CT01
ANTHEM
CT
01
—
792374
CONNECTICARE
CT
01
—
OV4405
LANDMARK
CT
Enumeration date
11/09/2006
Last updated
09/08/2014
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