Individual
DR. JOHN T LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 SE HILLMOOR DR, SUITE B105, PORT ST LUCIE, FL 34952-7545
(772) 398-9911
(772) 398-4374
Mailing address
1801 SE HILLMOOR DR, SUITE B105, PORT ST LUCIE, FL 34952-7545
(772) 398-9911
(772) 398-4374
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0063810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255054700
—
FL
Enumeration date
12/05/2006
Last updated
09/23/2008
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