Lanzon, Marie

Lanzon, Marie is an individual health care provider with primary practice located at 3141 N 3Rd Ave , Phoenix AZ 85013-4360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lanzon, Marie can be contacted via phone (602) 914-1520.

Contact Information

Primary practice address
3141 N 3Rd Ave Phoenix AZ 85013-4360
Phone: (602) 914-1520
Fax: (602) 914-1521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN040724 Arizona

Profile Details

NPI number 1073694204
LBN Legal business name Lanzon, Marie
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 25th, 2013 - about 12 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 1073694204 NPPES
Arizona MEDICAID 046963

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