Individual
DR. PAUL C LANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1604 MAIN ST, BLOOMER, WI 54724-1647
(715) 568-1012
(715) 568-1010
Mailing address
PO BOX 67, BLOOMER, WI 54724-0067
(715) 568-1012
(715) 568-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI5001523
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33656000
—
WI
Enumeration date
10/26/2006
Last updated
07/08/2007
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