Provider Demographics
NPI:1285440164
Name:LANZA, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:LANZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 MAIN ST UNIT 11-4
Mailing Address - Street 2:
Mailing Address - City:DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02638-1935
Mailing Address - Country:US
Mailing Address - Phone:617-980-1981
Mailing Address - Fax:
Practice Address - Street 1:59 MAIN ST UNIT 11-4
Practice Address - Street 2:
Practice Address - City:DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02638-1935
Practice Address - Country:US
Practice Address - Phone:617-980-1981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula