Basic Information
| Provider Information | |||||||||
| NPI: | 1518566710 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LANZA | ||||||||
| FirstName: | SYLVIE | ||||||||
| MiddleName: | STAR | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8269 HANOVERIAN DR | ||||||||
| Address2: | |||||||||
| City: | LAKE WORTH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334675051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3057698619 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 244 N CONGRESS AVE STE 2A | ||||||||
| Address2: | |||||||||
| City: | BOYNTON BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334264212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617344535 | ||||||||
| FaxNumber: | 8558019757 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2020 | ||||||||
| LastUpdateDate: | 04/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | APRN11009610 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.