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1710483920
JERRY MATTHEW LANZA
CAPE CORAL, FL
NPI
1710483920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME149479)
Enumeration Date
2018-04-05
Last Update Date
2022-07-27
Business Address
JERRY MATTHEW LANZA MD
1708 CAPE CORAL PKWY W STE 6
CAPE CORAL, FL 33914-6985
Phone number: 239-540-1495
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Mailing Address
JERRY MATTHEW LANZA MD
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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