Lanz, Jennifer

Lanz, Jennifer is an individual health care provider with primary practice located at 1302 Franklin Ave Suite 4500, Normal IL 61761-3551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lanz, Jennifer can be contacted via phone (309) 556-8300.

Contact Information

Primary practice address
1302 Franklin Ave Suite 4500 Normal IL 61761-3551
Fax: (309) 556-8293
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209011284 Illinois

Profile Details

NPI number 1114343225
LBN Legal business name Lanz, Jennifer
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2014
Last updated Mar 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114343225 NPPES
Illinois Other IL1307 MEDICARE GROUP PIN

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