Provider Demographics
NPI:1730286840
Name:TONZI, LAWRENCE J (FNP)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:J
Last Name:TONZI
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-2205
Mailing Address - Country:US
Mailing Address - Phone:207-532-7548
Mailing Address - Fax:
Practice Address - Street 1:88 BELL RD STE 2
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:ME
Practice Address - Zip Code:04730-6704
Practice Address - Country:US
Practice Address - Phone:207-532-4229
Practice Address - Fax:207-532-5948
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER028012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MER028012OtherNURSING LICENSE
MER028012OtherNURSING LICENSE
MER028012OtherNURSING LICENSE