Organization
CENTENNIAL MEDICAL GROUP CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LANZKOWKSY MD (MD/OWNER)
(702) 839-1203
Entity
Organization
Contact information
Practice address
245 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3131
(702) 839-1203
(702) 839-1301
Mailing address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
(702) 839-1203
(702) 839-1301
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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