Individual
MR. MARC JUN LANUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2734 EL CAMINO REAL, SANTA CLARA, CA 95051-3007
(408) 241-3801
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17362
CA
Other
Enumeration date
04/18/2007
Last updated
08/09/2019
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