Individual
DR. KELLY LANNUTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 848-2273
(781) 848-2275
Mailing address
584 HATHERLY RD, SCITUATE, MA 02066-1035
(610) 999-9661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB09537000
NJ
207Q00000X
Family Medicine Physician
Primary
262050
MA
208M00000X
Hospitalist Physician
26250
MA
Other
Enumeration date
11/15/2012
Last updated
03/22/2020
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