Individual
RAMON LACANILAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22204
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10383200
—
VA
01
—
1902692
MTN ST BCBS
WV
01
—
2160452
UHC
WV
01
—
3792827
CIGNA
WV
05
—
3810007472
—
WV
01
—
7374822
AETNA
WV
Enumeration date
08/20/2006
Last updated
01/28/2010
Update your record
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