Individual
DR. PAUL R LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
728 MARNE HWY, SUITE B, MOORESTOWN, NJ 08057-3128
(856) 235-6600
(856) 235-6610
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB046409000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1794701
—
NJ
Enumeration date
06/30/2006
Last updated
08/22/2014
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