Lanze, Mark Carl
Lanze, Mark Carl is an sole proprietor health care provider with primary practice located at 8265 Sheridan Dr , Williamsville NY 14221-4115. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lanze, Mark Carl can be contacted via phone (716) 634-6757.Contact Information
Primary practice address
8265 Sheridan Dr
Williamsville NY 14221-4115
Phone: (716) 634-6757
Fax: (716) 634-9297
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 012216 | New York |
Profile Details
NPI number | 1639189608 |
---|---|
LBN Legal business name | Lanze, Mark Carl |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 9th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639189608 | NPPES |
New York | MEDICAID | 01823963 |
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