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NPI Code Detail

MEDICARE: SAMANTHA ROSE LLANAS MD

MEDICARE: SAMANTHA ROSE LLANAS MD
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
1207Q00000XFamily Medicine Physician83875-20WI
2208M00000XHospitalist Physician83875-20WI

General Provider Information

NPI Number : 1538809298
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA ROSE LLANAS MD
Provider Business Mailing Address
First Line : W180N8085 TOWN HALL RD
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-3518
Country : US
Telephone Number : 262-257-2447
Fax Number :
Provider Business Practice Location Address
First Line : W180N8085 TOWN HALL RD
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-3518
Country : US
Telephone Number : 262-257-2447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 03/10/2026

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Directions to “ SAMANTHA ROSE LLANAS MD” Practice Location

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