Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 6503 | RI |
NPI | 1013945344 |
---|---|
Provider Name | Charles Francis Lanzillo JR. |
First Address | Westerly, RI 02891-2923 |
Second Address | Westerly, RI 02891-2923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000002011 | NEIGHBORHOOD HEALTH PLAN (01) | |
0000002064 | BLUE SHIELD OF RI (01) | RI |
001259514 | (05) | CT |
003611 | BLUE CHIP (01) | RI |
010025951CT01 | BLUE SHIELD OF CT (01) | CT |
031463 | HEALTHNET (01) | |
0800140 | UNITED HEALTH CARE (01) | |
180000279 | DMERC (01) | |
180000279 | RAILROAD MEDICARE (01) | |
AA33959 | HARVARD PILGRIM HEALTH (01) | |
B39200 | (02) | |
NLS024 | OXFORD (01) |