Provider Demographics
NPI:1972882264
Name:LANSKY, ZENA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZENA
Middle Name:
Last Name:LANSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZENA
Other - Middle Name:
Other - Last Name:LANSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:611 S FORT HARRISON AVE
Mailing Address - Street 2:#364
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-5301
Mailing Address - Country:US
Mailing Address - Phone:727-461-5786
Mailing Address - Fax:727-461-5786
Practice Address - Street 1:1001 DRUID RD S
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3815
Practice Address - Country:US
Practice Address - Phone:727-461-5786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME20173208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery