Lanza, Jesus

Lanza, Jesus is an individual health care provider with primary practice located at 6500 38Th Ave N , Saint Petersburg FL 33710-1629. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Lanza, Jesus can be contacted via phone (727) 384-1414.

Contact Information

Primary practice address
6500 38Th Ave N Saint Petersburg FL 33710-1629
Phone: (727) 384-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME128187 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 266832 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME128187 Florida

Profile Details

NPI number 1134421407
LBN Legal business name Lanza, Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2010
Last updated Jul 19th, 2024 - about 5 months 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 1134421407 NPPES
Pennsylvania MEDICAID 1025493970001

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