Organization
RONALD J. LANCZ,DPM P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J LANCZ DPM (OWNER)
(732) 364-4300
Entity
Organization
Contact information
Practice address
721 W KENNEDY BLVD, SUITE B5, LAKEWOOD, NJ 08701-1255
(732) 364-4300
(732) 886-7363
Mailing address
721 W KENNEDY BLVD, SUITE B5, LAKEWOOD, NJ 08701-1255
(732) 364-4300
(732) 886-7363
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD002201
NJ
261QP1100X
Podiatric Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5535204
—
NJ
Enumeration date
04/29/2008
Last updated
02/01/2011
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