Individual
ROBERT STEVEN LANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,NCBTMB
Contact information
Practice address
14620 ESCALANTE WAY, BONITA SPRINGS, FL 34135-8279
(954) 821-7586
(239) 221-8305
Mailing address
14620 ESCALANTE WAY, BONITA SPRINGS, FL 34135-8279
(954) 821-7586
(239) 221-8305
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA67945
FL
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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