Individual
THERESA C. LANZONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 NATIONAL BLVD, SUITE 2C, LONG BEACH, NY 11561-3327
(516) 432-0545
(516) 432-0597
Mailing address
350 NATIONAL BLVD, SUITE 2C, LONG BEACH, NY 11561-3327
(516) 432-0545
(516) 432-0597
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
155668
NY
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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