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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
SC12987

Other Provider Identifiers:

IssuerNumberStateType
GP1022SC05
LICENSE #12987SC01
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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