Cody Tyler Lancellotti, MS, LAT, ATC | |
1525 Greenspring Valley Rd, Stevenson, MD 21153-0641 | |
(717) 825-6756 | |
Not Available |
Full Name | Cody Tyler Lancellotti |
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Gender | Male |
Speciality | Emergency Medicine - Sports Medicine |
Location | 1525 Greenspring Valley Rd, Stevenson, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285367722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PS0010X | Emergency Medicine - Sports Medicine | A01097 (Maryland) | Primary |
Mailing Address | Practice Location Address |
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Cody Tyler Lancellotti, MS, LAT, ATC 2178 Hain Rd, New Freedom, PA 17349-9268 Ph: () - | Cody Tyler Lancellotti, MS, LAT, ATC 1525 Greenspring Valley Rd, Stevenson, MD 21153-0641 Ph: (717) 825-6756 |