Individual
MS. MICHELE LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
190 N EVERGREEN AVE STE 102, WOODBURY, NJ 08096-1862
(856) 845-8010
Mailing address
190 N EVERGREEN AVE STE 102, WOODBURY, NJ 08096-1862
(844) 542-2273
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN09671500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8259801
—
NJ
Enumeration date
10/05/2006
Last updated
03/17/2018
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