Individual
DR. MARIO A LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-6103
(907) 258-1257
Mailing address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-6103
(316) 283-1333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-43901
KS
207Q00000X
Family Medicine Physician
3753
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201308610A
—
KS
05
—
MD37532
—
AK
Enumeration date
01/27/2006
Last updated
11/12/2020
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