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
Fax: (716) 634-9297
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639189608 NPPES
New York MEDICAID 01823963

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