Provider Demographics
NPI:1487250361
Name:LANZONI, LEIGH BLYTHE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:BLYTHE
Last Name:LANZONI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ACUSHNET
Mailing Address - State:MA
Mailing Address - Zip Code:02743
Mailing Address - Country:US
Mailing Address - Phone:508-951-5051
Mailing Address - Fax:
Practice Address - Street 1:574 HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-4048
Practice Address - Country:US
Practice Address - Phone:508-839-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist