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NPI Code Detail

MEDICARE: MARIA REGINA LAKI LANTIN-HERMOSO M.D.

MEDICARE: MARIA REGINA LAKI LANTIN-HERMOSO 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
12080P0202XPediatric Cardiology PhysicianJ7816TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3370011877OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1125708102OTHERTXCSHCN
289Y084OTHERTXBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255376984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA REGINA LAKI LANTIN-HERMOSO M.D.
Provider Business Mailing Address
First Line : PO BOX 201088
Second Line :
City : HOUSTON
State : TX
Zip : 77216-1088
Country : US
Telephone Number : 713-500-3500
Fax Number : 713-500-5484
Provider Business Practice Location Address
First Line : 6651 MAIN ST STE E1920
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2428
Country : US
Telephone Number : 832-826-5600
Fax Number : 832-826-4287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 02/22/2023

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