Individual ProviderAndrea C. LanzaCounselorBehavioral Health & Social Service ProvidersPractice Address151 Mystic Ave Ste 6, Medford, MA 02155(781) 396-1199PECOS EnrollmentBased on the most recent information from CMS, provider Andrea C. Lanza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1548740673Provider TypeIndividualFull NameLanza, Andrea C.GenderFemaleSole ProprietorNoEnumeration Date8/17/2018Last Updated8/17/2018Contact InformationPractice LocationPractice Address151 Mystic Ave Ste 6, Medford, MA 02155Phone(781) 396-1199FaxUnlisted FaxMailing LocationMailing Address151 Mystic Ave Ste 6, Medford, MA 02155-4632PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer