Doctor Name: | LISA ZANDONELLA-HUHTA |
NPI Number: | 1568419349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 161315 |
Business Practice Address: | 94 Main St Hyannis, MA - 026013146 |
Business Phone Number: | 5087719599 |
Business Fax Number: | |
Mailing Address: | 94 Main St, HYANNIS |
State: | MA |
Postal Code: | 026013146 |
Phone Number: | 5087719599 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 11/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 161315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |