Individual
STACY LANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(888) 499-8779
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17227400
NJ
363L00000X
Nurse Practitioner
Primary
26NJ14856600
NJ
Other
Enumeration date
08/24/2023
Last updated
10/16/2023
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