Lanzerotte, Mark
Lanzerotte, Mark is an individual health care provider with primary practice located at 3801 Ireland Grove Rd , Bloomington IL 61704-5297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lanzerotte, Mark can be contacted via phone (309) 664-0101.Contact Information
Primary practice address
3801 Ireland Grove Rd
Bloomington IL 61704-5297
Phone: (309) 664-0101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 70231 | Tennessee |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036090304 | Illinois |
Profile Details
| NPI number | 1013993872 |
|---|---|
| LBN Legal business name | Lanzerotte, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Mar 11th, 2024 - about 9 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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