Individual
DR. DOMINICK ALLAN LANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 N CHARLES ST, SUITE 606, BALTIMORE, MD 21204-6800
(443) 849-3838
(443) 849-3842
Mailing address
6565 N CHARLES ST, SUITE 606, BALTIMORE, MD 21204-6800
(443) 849-3838
(443) 849-3842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0039790
MD
207X00000X
Orthopaedic Surgery Physician
Primary
D0039790
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113611900
—
MD
Enumeration date
10/25/2005
Last updated
03/20/2014
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