Organization
CHARLES J. LANCELOTTA JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JOSEPH LANCELOTTA JR. M.D. (OWNER)
(410) 715-2533
Entity
Organization
Contact information
Practice address
11055 LITTLE PATUXENT PKWY, SUITE L7, COLUMBIA, MD 21044-2896
(410) 715-2533
(410) 715-2536
Mailing address
11085 LITTLE PATUXENT PKWY, SUITE LL-007, COLUMBIA, MD 21044-2983
(410) 715-2533
(410) 715-2536
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0009071
MD
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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