Individual
AMY A LANZENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
4802 E BROADWAY, MADISON, WI 53716-4141
(608) 926-0101
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 935-5976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17212-131
WI
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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