Organization
AMBULATORY ANESTHESIOLOGY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LANZEROTTE M.D. (PRESIDENT)
(309) 585-0283
Entity
Organization
Contact information
Practice address
3801 IRELAND GROVE RD, BLOOMINGTON, IL 61704
(309) 664-0101
Mailing address
PO BOX 489, BLOOMINGTON, IL 61702-0489
(309) 585-0283
(309) 585-0283
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
04/02/2008
Last updated
04/06/2022
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