Individual
JENNIFER LYNN LANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1302 FRANKLIN AVE, SUITE 4500, NORMAL, IL 61761-3551
(309) 556-8300
(309) 556-8293
Mailing address
1302 FRANKLIN AVE, SUITE 4500, NORMAL, IL 61761-3551
(309) 556-8300
(309) 556-8293
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209011284
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL1307
MEDICARE GROUP PIN
IL
Enumeration date
03/13/2014
Last updated
02/26/2025
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