| Joseph W Lanese Md Pa | |
|
6101 Webb Rd Suite 107 Tampa FL 33615-2872 | |
| (813) 884-7971 | |
| (813) 249-0794 |
| Full Name | Joseph W Lanese Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6101 Webb Rd, Tampa, Florida |
| Authorized Official Name and Position | Joseph W Lanese (PRESIDENT) |
| Authorized Official Contact | 8138847971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph W Lanese Md Pa 6101 Webb Rd Suite 107 Tampa FL 33615-2872 Ph: (813) 884-7971 | Joseph W Lanese Md Pa 6101 Webb Rd Suite 107 Tampa FL 33615-2872 Ph: (813) 884-7971 |
| NPI Number | 1508005745 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Medicare PECOS PAC ID | 1557521143 |
|---|---|
| Medicare Enrollment ID | O20120319000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508005745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0059249 (Florida) | Primary |
| Provider Name | Joseph W. Lanese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144339862 PECOS PAC ID: 1153507603 Enrollment ID: I20120319000507 |
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