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Individual

DR. MICHAEL ANTHONY LANCELLOTTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1637 MINERAL SPRING AVE, SUITE 201, NORTH PROVIDENCE, RI 02904-4042
(401) 354-5120
(401) 354-5122
Mailing address
1637 MINERAL SPRING AVE, SUITE 201, NORTH PROVIDENCE, RI 02904-4042
(401) 354-5120
(401) 354-5122

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00243
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000003521
BCBSRI
RI
01
400742
BLUECHIP RI
RI
01
440421
UNITED HEALTHCARE
RI
Enumeration date
08/17/2005
Last updated
07/08/2007
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