Provider Demographics
NPI:1225113673
Name:LANSON, STUART Z (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:Z
Last Name:LANSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8406 E SHEA BLVD
Mailing Address - Street 2:#100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6659
Mailing Address - Country:US
Mailing Address - Phone:480-994-9512
Mailing Address - Fax:480-994-3773
Practice Address - Street 1:8406 E SHEA BLVD
Practice Address - Street 2:#100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6659
Practice Address - Country:US
Practice Address - Phone:480-994-9512
Practice Address - Fax:480-994-3773
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAZ7318207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z875243Medicare ID - Type Unspecified
C99832Medicare UPIN