Organization
RAYMND LANZA, DO
Active
Other names
Raymond Lanza, DO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND LANZA D.O. (OWNER)
(732) 991-5020
Entity
Organization
Contact information
Practice address
21 FAIRWAY DR, GREEN BROOK, NJ 08812-2064
(732) 991-5020
Mailing address
21 FAIRWAY DR, GREEN BROOK, NJ 08812-2064
(732) 991-5020
(732) 399-9784
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MB03658300
NJ
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
08/07/2008
Last updated
09/14/2023
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