Hutto, Lisa S

Hutto, Lisa S is an individual health care provider with primary practice located at Ste 430 9 Richland Medical Pk, Columbia SC 29203-6870. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Hutto, Lisa S can be contacted via phone (803) 765-9435.

Contact Information

Primary practice address
Ste 430 9 Richland Medical Pk Columbia SC 29203-6870
Phone: (803) 765-9435
Fax: (803) 765-2446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 12987 South Carolina

Profile Details

NPI number 1528012960
LBN Legal business name Hutto, Lisa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Oct 29th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528012960 NPPES
South Carolina Other 12987 LICENSE #
South Carolina MEDICAID GP1022 LICENSE #

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