Healthcare Provider Details

I. General information

NPI: 1366376303
Provider Name (Legal Business Name): EMILY VICTORIA LANCIANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5999 HARPERS FARM RD STE E110
COLUMBIA MD
21044-3023
US

IV. Provider business mailing address

14108 BURNTWOODS RD
GLENWOOD MD
21738-9521
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-4244
  • Fax:
Mailing address:
  • Phone: 410-997-4244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1081834
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: