Active NPI
Steven Lattanzi, CP, COA
- Prosthetist
- Abingdon, MD
National Provider Identifier
1386185395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PO000211
- Practice address
- 3435 Box Hill Corporate Center Dr
Suite D
Abingdon, MD 21009-1204 - Phone
- (410) 569-0606
- Fax
- (410) 569-7477
- NPI assigned
- Mar 10, 2017
- Last updated
- Mar 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | PO000211 | PA | Primary |
Addresses
Primary practice location
3435 Box Hill Corporate Center Dr
Suite D
Abingdon, MD 21009-1204
Mailing address
3435 Box Hill Corporate Center Dr
Suite D
Abingdon, MD 21009-1204
Phone (410) 569-0606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO000211 | PA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1386185395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 BOX HILL CORPORATE CENTER DR",
"address_2": "SUITE D",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210091204",
"telephone_number": "410-569-0606",
"fax_number": "410-569-7477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 BOX HILL CORPORATE CENTER DR",
"address_2": "SUITE D",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210091204",
"telephone_number": "410-569-0606",
"fax_number": "410-569-7477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTANZI",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "CP, COA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-10",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "PA",
"license": "PO000211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.