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Individual
CHARLES IGNATIUS LAMERTINA
Active
Individual
CHARLES IGNATIUS LAMERTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001533
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305714
AMERIGROUP
MD
01
—
5284
BRAVO/ELDER HEALTH
MD
01
—
5318552
CIGNA
MD
Enumeration date
04/07/2006
Last updated
04/16/2008
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