Provider Demographics
NPI:1518566710
Name:LANZA, SYLVIE STAR (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIE
Middle Name:STAR
Last Name:LANZA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:8269 HANOVERIAN DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5051
Mailing Address - Country:US
Mailing Address - Phone:305-769-8619
Mailing Address - Fax:
Practice Address - Street 1:244 N CONGRESS AVE STE 2A
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-4212
Practice Address - Country:US
Practice Address - Phone:561-734-4535
Practice Address - Fax:855-801-9757
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2021-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11009610363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner