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NPI Code Detail

MEDICARE: KATHRYN A. LANCIANO C.R.N.P.

MEDICARE: KATHRYN A. LANCIANO C.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerR070616MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235149790
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN A. LANCIANO C.R.N.P.
Provider Business Mailing Address
First Line : PO BOX 6429
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2772 RUTLAND RD
Second Line :
City : DAVIDSONVILLE
State : MD
Zip : 21035-1228
Country : US
Telephone Number : 410-798-6133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 06/20/2012

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