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 |
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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