Individual
MRS. MADISON FAIA LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 RUE DE LA VIE ST STE 404, BATON ROUGE, LA 70817-5128
(337) 322-4204
Mailing address
500 RUE DE LA VIE ST STE 404, BATON ROUGE, LA 70817-5128
(337) 322-4204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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