Individual
DR. CHARLES JOSEPH LANCELOTTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11085 LITTLE PATUXENT PKWY, SUITE LL-007, COLUMBIA, MD 21044-2983
(410) 715-2533
(410) 715-2536
Mailing address
11085 LITTLE PATUXENT PKWY, SUITE LL-007, COLUMBIA, MD 21044-2983
(410) 715-2533
(410) 715-2536
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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