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NPI Code Detail

MEDICARE: LISA ZANDONELLA-HUHTA M.D.

MEDICARE: LISA ZANDONELLA-HUHTA M.D.
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
1208D00000XGeneral Practice Physician161315MA

General Provider Information

NPI Number : 1568419349
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ZANDONELLA-HUHTA M.D.
Provider Business Mailing Address
First Line : 94 MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3146
Country : US
Telephone Number : 508-771-7517
Fax Number :
Provider Business Practice Location Address
First Line : 94 MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3146
Country : US
Telephone Number : 508-771-9599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 05/12/2026

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