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1407890403
MICHAEL J LANZISERA
VOORHEES, NJ
NPI
1407890403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00158200)
Enumeration Date
2006-06-16
Last Update Date
2022-06-20
Business Address
Mr. MICHAEL J LANZISERA PA-C
200 BOWMAN DR STE 140
VOORHEES, NJ 08043-9623
Phone number: 856-983-4263
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Mailing Address
Mr. MICHAEL J LANZISERA PA-C
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone number: 856-355-0340
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