LISA S HUTTO MD

Allergy and Immunology

Columbia, South Carolina

Provider NPI: 1528012960

Provider Information:
 LISA S HUTTO MD


Practice Location:
STE 430 9 RICHLAND MEDICAL PK COLUMBIA, SC 29203 US
Tel: 803-765-9435  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	SC	12987

Other Provider Identifiers:

Issuer	Number	State	Type
	GP1022	SC	05
LICENSE #	12987	SC	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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