Individual
DR. JOHN J LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 W JACKSON ST, PENSACOLA, FL 32505-7552
(850) 436-4630
(850) 436-2095
Mailing address
2315 W JACKSON ST, PENSACOLA, FL 32505-7552
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME50040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08899
BCBS
FL
05
—
370453002
—
FL
Enumeration date
04/10/2006
Last updated
08/29/2020
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