Lancellotti, Cody Tyler

Lancellotti, Cody Tyler is an sole proprietor health care provider with primary practice located at 1525 Greenspring Valley Rd , Stevenson MD 21153-0641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lancellotti, Cody Tyler can be contacted via phone (717) 825-6756.

Contact Information

Primary practice address
1525 Greenspring Valley Rd Stevenson MD 21153-0641
Phone: (717) 825-6756
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X A01097 Maryland

Profile Details

NPI number 1285367722
LBN Legal business name Lancellotti, Cody Tyler
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2022
Last updated Jul 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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