Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Lanzerotte, MD

Individual provider Anesthesiology Physician · NPI 1013993872

Dr. Mark Lanzerotte, MD is an Anesthesiology Physician in Bloomington, Illinois. Works from 2 locations. Licensed in Illinois and Tennessee.

Licensed in
IL, TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3801 Ireland Grove Rd
Bloomington, IL 61704-5297
Phone: (309) 664-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 262 Danny Thomas Pl, Memphis, TN 38105-3678 — (901) 595-3300

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036090304 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 70231 (TN)

Record details

NPI number1013993872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing addressPo Box 489, Bloomington, IL 61702-0489

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