Individual
MARK J. LANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3251 KEY LARGO DR APT 102, LAS VEGAS, NV 89120-5308
(702) 731-1838
Mailing address
3251 KEY LARGO DR APT 102, LAS VEGAS, NV 89120-5308
(702) 731-1838
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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