Individual
GUY LANCELLOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 CENTERVILLE RD, SUITE 2, WARWICK, RI 02886-4394
(401) 737-4828
(401) 732-8484
Mailing address
227 CENTERVILLE RD, SUITE 2, WARWICK, RI 02886-4394
(401) 737-4828
(401) 732-8484
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6080
RI
2086S0129X
Vascular Surgery Physician
6080
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002519
BCBSRI/CHIP
RI
05
—
7000574
—
RI
01
—
838-7
BCBSRI
RI
Enumeration date
04/05/2006
Last updated
02/24/2011
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