Individual
DR. CHARLES J LANZAROTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 W OKLAHOMA AVE, STE 100, MILWAUKEE, WI 53215-4455
(414) 389-2790
(414) 389-2791
Mailing address
2025 W OKLAHOMA AVE, STE 100, MILWAUKEE, WI 53215-4455
(414) 389-2790
(414) 389-2791
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
38658
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
38658
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3234700
—
WI
Enumeration date
06/21/2005
Last updated
04/09/2012
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