Provider Demographics
NPI:1053330217
Name:LANZI BURKE AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:LANZI BURKE AND ASSOCIATES LLC
Other - Org Name:LANZI/BURKE ORAL & MAXILLOFACIAL SURGEONS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LANZI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:856-795-4600
Mailing Address - Street 1:449 HURFFVILLE CROSSKEYS RD
Mailing Address - Street 2:UNIT II
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-9369
Mailing Address - Country:US
Mailing Address - Phone:856-582-4222
Mailing Address - Fax:856-582-2295
Practice Address - Street 1:15 E EUCLID AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2300
Practice Address - Country:US
Practice Address - Phone:856-795-4600
Practice Address - Fax:856-795-4697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0150891223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty