1902075997 NPI number — CHARLES J. LANCELOTTA JR., M.D., P.A.

Table of content: (NPI 1902075997)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902075997 NPI number — CHARLES J. LANCELOTTA JR., M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHARLES J. LANCELOTTA JR., M.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902075997
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11085 LITTLE PATUXENT PKWY
Provider Second Line Business Mailing Address:
SUITE LL-007
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21044-2983
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-715-2533
Provider Business Mailing Address Fax Number:
410-715-2536

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11055 LITTLE PATUXENT PKWY
Provider Second Line Business Practice Location Address:
SUITE L7
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21044-2896
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-715-2533
Provider Business Practice Location Address Fax Number:
410-715-2536
Provider Enumeration Date:
02/25/2008

Additional Information

Authorized Official

Authorized Official Last Name:
LANCELOTTA
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
410-715-2533

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  D0009071 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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