Individual
TIFFANY ROBERTS LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
Mailing address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-5958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
868103
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383532
NY
Other
Enumeration date
04/21/2014
Last updated
06/05/2023
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