Provider Information for 1063183887
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Dr. JENNIFER LANZAS LCSW
Sex: Female
NPI: 1063183887
Last Updated: 2021-09-22
Certification Date: 2021-09-04
Certification Date: 2021-09-04
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1063183887 | ||||||||
| Enumeration Date | 2021-09-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 18495 S DIXIE HWY STE 318 MIAMI, FL 33157-6817 United States Phone: 888-318-4788 | Fax:888-318-4788 | ||||||||
| Primary Practice Address | 18495 S DIXIE HWY STE 318 MIAMI, FL 33157-6817 United States Phone: 888-318-4788 | Fax:888-318-4788 | ||||||||
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