Provider Demographics
NPI:1265503346
Name:LANZARA, RONALD JR (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:LANZARA
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03064-2013
Mailing Address - Country:US
Mailing Address - Phone:603-889-3600
Mailing Address - Fax:603-883-1448
Practice Address - Street 1:88 BROAD ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03064-2013
Practice Address - Country:US
Practice Address - Phone:603-889-3600
Practice Address - Fax:603-883-1448
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2008-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2261095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE3935Medicare ID - Type Unspecified
NH58875Medicare UPIN