Provider Demographics
NPI:1609827617
Name:STEPHEN LOUIS LANUTI MD PA
Entity Type:Organization
Organization Name:STEPHEN LOUIS LANUTI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAUNTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-277-9164
Mailing Address - Street 1:1600 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5524
Mailing Address - Country:US
Mailing Address - Phone:910-277-9164
Mailing Address - Fax:910-277-9189
Practice Address - Street 1:1600 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5524
Practice Address - Country:US
Practice Address - Phone:910-277-9164
Practice Address - Fax:910-277-9189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9600602174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8950930Medicaid
NC020032864OtherRAILROAD MEDICAID
NC1409023OtherUNITED HEALTH CARE
NC50930OtherBCBS
SCNOO602OtherSC MEDICAID
NC8950930Medicaid
NC1409023OtherUNITED HEALTH CARE