Individual
MR. WITHBERTO LANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 AVE DOMENECH, SAN JUAN, PR 00918-3710
(787) 751-5366
(787) 250-1869
Mailing address
JK6 CALLE 241, COUNTRY CLUB, CAROLINA, PR 00982-2735
(787) 768-5877
(787) 250-1869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3609
PR
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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