Individual
DEBRA J LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, VASCULAR SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-9160
(414) 805-9170
Mailing address
9200 W WISCONSIN AVE, VASCULAR SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-9160
(414) 805-9170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
82844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033341995
—
WI
Enumeration date
08/11/2009
Last updated
07/19/2012
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