Individual
CHRISTINA LANCIONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 SW GAINES ST, CDRC-P, PORTLAND, OR 97239-2901
(503) 494-3305
(503) 494-1542
Mailing address
707 SW GAINES ST, CDRC-P, PORTLAND, OR 97239-2901
(503) 494-3305
(503) 494-1542
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35087984
OH
2080P0208X
Pediatric Infectious Diseases Physician
Primary
087984
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221093
UNISON
OH
01
—
000000526063
ANTHEM
OH
01
—
1020905740001
PA MEDICAID
PA
01
—
2738881
BCMH
OH
05
—
2738881
—
OH
01
—
363730
WELLCARE
OH
01
—
750822
BUCKEYE
OH
01
—
7757588
AETNA
OH
Enumeration date
11/01/2006
Last updated
12/21/2010
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