| Doctor Name: | DR. MARK LANZEROTTE |
| NPI Number: | 1013993872 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 2200 Fort Jesse Rd Suite 240 Normal, IL - 617616286 |
| Business Phone Number: | 3092689300 |
| Business Fax Number: | 3092680575 |
| Mailing Address: | 2200 Fort Jesse Rd, Suite 240 NORMAL |
| State: | IL |
| Postal Code: | 617616286 |
| Phone Number: | 3092689300 |
| Fax Number: | 3092680575 |
| NPI Enumeration Date: | 12/22/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |