Individual
CHARLES IGNATIUS LAMERTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
PO BOX 64485, BALTIMORE, MD 21264-4485
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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