Individual
DR. JESUS LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 38TH AVE N, SAINT PETERSBURG, FL 33710-1629
(727) 384-1414
Mailing address
9105 TILLINGHAST DR, TAMPA, FL 33626-1625
(727) 384-7736
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME128187
FL
207RP1001X
Pulmonary Disease Physician
266832
NY
207RP1001X
Pulmonary Disease Physician
Primary
ME128187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025493970001
—
PA
Enumeration date
11/18/2010
Last updated
06/12/2025
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