Individual
DR. DANTE L LANDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 W 5TH ST, SUITE 5, GREENVILLE, NC 27834-2888
(252) 744-2207
(252) 744-1115
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9900579
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11938
BCBS NC
NC
01
—
290012072
RAILROAD MEDICARE
NC
05
—
8911938
—
NC
Enumeration date
08/22/2005
Last updated
05/30/2008
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