Lanza, Trina Desiree

Lanza, Trina Desiree is an sole proprietor health care provider with primary practice located at 3549 High Timber Dr. , Grapevine TX 76051. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lanza, Trina Desiree can be contacted via phone (682) 521-2295.

Contact Information

Primary practice address
3549 High Timber Dr. Grapevine TX 76051
Phone: (682) 521-2295
Fax: (682) 521-2295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 583243 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP114312 Texas

Profile Details

NPI number 1518917798
LBN Legal business name Lanza, Trina Desiree
Credentials RN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Mar 20th, 2021 - about 3 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 1518917798 NPPES
Texas MEDICAID 177844105
Texas MEDICAID 177844103
Texas MEDICAID 177844104

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