Mark Lanzerotte MD

NPI 1013993872 - Anesthesiology - 207LP2900X

NPI Details
NPI 1013993872
Gender Male
Enumeration Date 12/22/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2200 FORT JESSE RD
SUITE 240
NORMAL IL, 61761-6286, US
Phone (309) 268-9300
Fax (309) 268-0575
Business Location
2200 FORT JESSE RD
SUITE 240
NORMAL IL, 61761-6286, US
Phone (309) 268-9300
Fax (309) 268-0575
Toxanomy
Taxonomy Code 207LP2900X
License State
License Number
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According to our database, Dr. Mark Lanzerotte MD NPI is 1013993872, taxonomy code is 207LP2900X Mark Lanzerotte MD physically located at 2200 Fort Jesse Rd, Normal IL, 61761-6286. NPI Number Mark Lanzerotte MD has the Individual type.

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1013993872 NPI number is provided on an as is basis without warranty of any kind. 1013993872 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Lanzerotte MD are for informational purposes only.