Individual
MS. BARBARA JEAN LANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
38 BARKLEY CIR, SUITE 1, FORT MYERS, FL 33907-7526
(239) 317-5533
Mailing address
1036 ONONDAGA TRAIL, FORT MYERS BEACH, FL 33931
(239) 317-5533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17537
FL
367500000X
Certified Registered Nurse Anesthetist
033143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3057409
BCBS NUMBER
TN
05
—
3624858
—
TN
05
—
74331430
—
KY
Enumeration date
08/02/2005
Last updated
02/09/2021
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