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NPI Code Detail

MEDICARE: EMMA LOUISE LANUTI M.D.

MEDICARE: EMMA LOUISE LANUTI 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
1207N00000XDermatology PhysicianTRN14024FL
2207N00000XDermatology PhysicianME 113773FL
3207N00000XDermatology PhysicianD00763498MD

General Provider Information

NPI Number : 1710118534
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA LOUISE LANUTI M.D.
Provider Business Mailing Address
First Line : 2002 MEDICAL PKWY STE 630
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3059
Country : US
Telephone Number : 815-579-2072
Fax Number :
Provider Business Practice Location Address
First Line : 2002 MEDICAL PKWY STE 630
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3059
Country : US
Telephone Number : 815-579-2072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2009
Last Update Date : 08/08/2013

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