Individual
VICTOR J LANZOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST, 2204, SPRINGFIELD, IL 62702-6700
(217) 525-2500
(217) 525-9374
Mailing address
747 N RUTLEDGE ST, 2204, SPRINGFIELD, IL 62702-6700
(217) 525-2500
(217) 525-9374
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036043018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360430182
—
IL
01
—
178281
HEALTHLINK
IL
01
—
8415062
BLUE CROSS BLUE SHIELD
IL
01
—
900001176
RAILROAD MEDICARE
IL
Enumeration date
05/03/2006
Last updated
01/24/2010
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