Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | D0071295 | MD |
NPI | 1033245725 |
---|---|
Provider Name | John C Lamattina |
First Address | Baltimore, MD 21201-1504 |
Second Address | Baltimore, MD 21201-1504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 15/01/2013 |