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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