Provider Demographics
NPI:1710118534
Name:LANUTI, EMMA LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:LOUISE
Last Name:LANUTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 MEDICAL PKWY STE 630
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3059
Mailing Address - Country:US
Mailing Address - Phone:815-579-2072
Mailing Address - Fax:
Practice Address - Street 1:2002 MEDICAL PKWY STE 630
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3059
Practice Address - Country:US
Practice Address - Phone:815-579-2072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN14024207N00000X
FLME 113773207N00000X
MDD00763498207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology