Individual
JESSE LAWRENCE LANZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
2425 BATH ST, SANTA BARBARA, CA 93105-4324
(805) 682-0933
Mailing address
2425 BATH ST, SANTA BARBARA, CA 93105-4324
(805) 682-0933
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
56306
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A123328
CA
Other
Enumeration date
04/27/2007
Last updated
08/18/2013
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