Lanza, Michele

Lanza, Michele is an individual health care provider with primary practice located at 190 N Evergreen Ave Ste 102 , Woodbury NJ 08096-1862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lanza, Michele can be contacted via phone (856) 845-8010.

Contact Information

Primary practice address
190 N Evergreen Ave Ste 102 Woodbury NJ 08096-1862
Phone: (856) 845-8010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NN09671500 New Jersey

Profile Details

NPI number 1871680603
LBN Legal business name Lanza, Michele
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 17th, 2018 - about 6 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 1871680603 NPPES
New Jersey MEDICAID 8259801

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