Provider Demographics
NPI:1770787541
Name:LANSON, BIANA G (MD)
Entity type:Individual
Prefix:DR
First Name:BIANA
Middle Name:G
Last Name:LANSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BIANA
Other - Middle Name:G
Other - Last Name:LITROVNIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:32 STRAWBERRY HILL CT SUITE 4
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902
Mailing Address - Country:US
Mailing Address - Phone:203-353-0000
Mailing Address - Fax:203-357-8109
Practice Address - Street 1:32 STRAWBERRY HILL CT SUITE 4
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902
Practice Address - Country:US
Practice Address - Phone:203-353-0000
Practice Address - Fax:203-357-8109
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT47257207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program