Healthcare Provider Details

I. General information

NPI: 1487818977
Provider Name (Legal Business Name): ELEANOR DELANEY LANNUTTI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELEANOR ANNE DELANEY

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 THOMAS JOHNSON DR
FREDERICK MD
21702-4384
US

IV. Provider business mailing address

63 THOMAS JOHNSON DR STE E
FREDERICK MD
21702-4399
US

V. Phone/Fax

Practice location:
  • Phone: 301-694-7600
  • Fax:
Mailing address:
  • Phone: 301-694-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberH75372
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: