Individual
MARY R LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3300 PROVIDENCE DR STE 207, PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C., ANCHORAGE, AK 99508-4619
(907) 561-0005
(907) 563-9140
Mailing address
3300 PROVIDENCE DR, SUITE 207, PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROU, ANCHORAGE, AK 99508-4619
(907) 561-0005
(907) 563-9140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3907
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300043459
—
IN
05
—
3907
—
AK
05
—
7100699210
—
KY
Enumeration date
08/09/2006
Last updated
05/25/2022
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