Provider Demographics
NPI:1528760675
Name:JANOWITZ, LYNZEE IVY (DO)
Entity type:Individual
Prefix:
First Name:LYNZEE
Middle Name:IVY
Last Name:JANOWITZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1643 E HARMONY LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7111
Mailing Address - Country:US
Mailing Address - Phone:954-520-2416
Mailing Address - Fax:
Practice Address - Street 1:1643 E HARMONY LAKE CIR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-7111
Practice Address - Country:US
Practice Address - Phone:954-520-2416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program