| Doctor Name: | DR. MARILYN LEWIS LANZA |
| NPI Number: | 1194851451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNSC, ARNP, CS, FAAN |
| License Number: | 014673-23-08 |
| Business Practice Address: | 44 E Nashua Rd Windham, NH - 030871139 |
| Business Phone Number: | 6034328680 |
| Business Fax Number: | 7816873337 |
| Mailing Address: | 44 E Nashua Rd, WINDHAM |
| State: | NH |
| Postal Code: | 030871139 |
| Phone Number: | 6034328680 |
| Fax Number: | 7816873337 |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 014673-23-08 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |