Individual
MR. MICHAEL J LANZISERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 BOWMAN DR STE 140, VOORHEES, NJ 08043-9623
(856) 983-4263
(856) 983-9362
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00158200
NJ
Other
Enumeration date
06/16/2006
Last updated
06/20/2022
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