Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | AZ7318 | AZ |
NPI | 1225113673 |
---|---|
Provider Name | Dr. Stuart Z Lanson |
First Address | Scottsdale, AZ 85260-6659 |
Second Address | Scottsdale, AZ 85260-6659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C99832 | (02) |