Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 29013 | WV |
Y | 2080P0208X | Pediatric Infectious Diseases | 29013 | WV |
NPI | 1104268531 |
---|---|
Provider Name | Mariana Milena Lanata Piazzon |
First Address | Coral Gables, FL 33134-4506 |
Second Address | Huntington, WV 25701-3655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2013 |
Last Update Date | 30/11/2021 |