Provider Demographics
NPI:1396814885
Name:LANZISERA, FRANK PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:LANZISERA
Suffix:
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 1:106 ADALIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3304
Mailing Address - Country:US
Mailing Address - Phone:813-871-0700
Mailing Address - Fax:813-871-0700
Practice Address - Street 1:106 ADALIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3304
Practice Address - Country:US
Practice Address - Phone:813-871-0700
Practice Address - Fax:813-871-0700
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT55678Medicare UPIN
FL88086Medicare ID - Type UnspecifiedMEDICARE #