Individual
DR. STEPHEN LANZAROTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 MARY ST, SUITE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST, SUITE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01065513A
IN
2086S0127X
Trauma Surgery Physician
33167
AZ
2086S0127X
Trauma Surgery Physician
48946
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000591529
ATHEM
IN
05
—
200929470
—
IN
05
—
7100094870
—
KY
05
—
944597
—
AZ
01
—
P00654062
MEDICARE RAILROAD
IN
Enumeration date
06/22/2006
Last updated
05/22/2015
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