Lanza's Medical Center, Llc | |
240 Maple Ave Red Bank NJ 07701-1731 | |
(732) 576-1600 | |
Not Available |
Full Name | Lanza's Medical Center, Llc |
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Speciality | Family Medicine |
Location | 240 Maple Ave, Red Bank, New Jersey |
Authorized Official Name and Position | Michele R Lanza (PRESIDENT) |
Authorized Official Contact | 7325761600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lanza's Medical Center, Llc 240 Maple Ave Red Bank NJ 07701-1731 Ph: (732) 576-1600 | Lanza's Medical Center, Llc 240 Maple Ave Red Bank NJ 07701-1731 Ph: (732) 576-1600 |
NPI Number | 1235522236 |
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Provider Enumeration Date | 03/15/2015 |
Last Update Date | 11/06/2015 |
Medicare PECOS PAC ID | 5799090122 |
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Medicare Enrollment ID | O20150814012744 |
Identifier | Type | State | Issuer |
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1235522236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (New Jersey) | Primary |
Provider Name | Michele R Lanza |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558370635 PECOS PAC ID: 9931291846 Enrollment ID: I20070823000458 |
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