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1730931684
MARIO RENE VALERIANO LANZA
LUBBOCK, TX
NPI
1730931684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-03
Last Update Date
2024-11-18
Business Address
MARIO RENE VALERIANO LANZA MD
3601 4TH ST
LUBBOCK, TX 79430-2872
Phone number: 806-743-6130
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Mailing Address
MARIO RENE VALERIANO LANZA MD
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-6130
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