Individual
REGINA ANGELA LANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W193S7842 OVERLOOK BAY RD # 6D, MUSKEGO, WI 53150-7813
(414) 254-1830
Mailing address
W193S7842 OVERLOOK BAY RD # 6D, MUSKEGO, WI 53150-7813
(414) 254-1830
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
141161-30
WI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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