Individual
CHARLES F. LANZIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
35-053060
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217366
UNISON
OH
01
—
000000503582
ANTHEM
OH
01
—
0304914
BCMH
OH
05
—
0641238
—
OH
05
—
1012178750001
—
PA
01
—
156272
NJ MEDICAID
NJ
01
—
1760400063
MI MEDICAID
MI
01
—
369141
WELLCARE
OH
01
—
4392681
AETNA
OH
01
—
734423
BUCKEYE
OH
01
—
P00364290
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
05/13/2014
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