| Doctor Name: | MS. ANGELA E LANZA |
| NPI Number: | 1134132178 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 003130 |
| Business Practice Address: | 554 Talcottville Rd Vernon, CT - 060662310 |
| Business Phone Number: | 8608756700 |
| Business Fax Number: | 8608706140 |
| Mailing Address: | 4 Farm Springs Rd, Prohealth Physicians FARMINGTON |
| State: | CT |
| Postal Code: | 060322573 |
| Phone Number: | 8602845200 |
| Fax Number: | 8602845333 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 10/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 003130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |