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Organization
PROVIDENCE CHIROPRACTIC CLINIC INC
Active
Organization
PROVIDENCE CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY LANCELLOTTI DC (DOCTOR OF CHIROPRACTIC)
(401) 354-5120
Entity
Organization
Contact information
Practice address
1637 MINERAL SPRING AVENUE SUITE 201, NORTH PROVIDENCE, RI 02904
(401) 354-5120
(401) 354-5122
Mailing address
1637 MINERAL SPRING AVENUE SUITE 201, NORTH PROVIDENCE, RI 02904
(401) 354-5120
(401) 354-5122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000003521
BC BS RI
RI
01
—
400742
BLUE CHIP
RI
01
—
4400421
UNITED
—
01
—
720028401
CIGNA
—
Enumeration date
12/28/2006
Last updated
12/04/2024
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