Individual
MR. RICHARD THOMAS LANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
686 ELMORE RD, WORCESTER, VT 05682-9640
(802) 229-4561
Mailing address
686 ELMORE RD, WORCESTER, VT 05682-9640
(802) 229-4561
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
234
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002616
—
VT
Enumeration date
05/14/2010
Last updated
05/14/2010
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