Individual
DR. CHARLES JOSEPH LANCELOTTA JR.
Active
Individual
DR. CHARLES JOSEPH LANCELOTTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0009071
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600072
UNITED HEALTHCARE
MD
01
—
459950
AETNA
MD
01
—
H687CH
BCBS MD
MD
01
—
J9090001
BLUE CHOICE
MD
Enumeration date
07/11/2005
Last updated
03/13/2008
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