Charles Ignatius Lamertina in Glen Burnie - Physician Assistant

Charles Ignatius Lamertina - NPI 1417910837

Charles Ignatius Lamertina is a Physician Assistant in Glen Burnie, Maryland. Charles Ignatius Lamertina practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Ignatius Lamertina is 1417910837. The last update date is 2008-04-16.

Charles Ignatius Lamertina's current location address is 301 Hospital Dr, Glen Burnie, Maryland. You can contact this provider via phone number 4107874000. The mailing address for Charles Ignatius Lamertina is 301 Hospital Dr, Glen Burnie, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Ignatius Lamertina
Address 301 Hospital Dr, Glen Burnie, Maryland
Phone Number 4107874000
Fax Number
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1417910837
Provider Enumeration Date 2006-04-07
Last Updated Date 2008-04-16

Provider Mailing Address Detail

Address 301 Hospital Dr
City Glen Burnie
State Maryland (MD)
Post Code 210615803
Phone Number 4107874000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No C0001533
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
305714 MD AMERIGROUP
5284 MD BRAVO/ELDER HEALTH
5318552 MD CIGNA

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FAQs about Charles Ignatius Lamertina

Can you provide the Charles Ignatius Lamertina's physical address?

The Charles Ignatius Lamertina is physically located at 301 Hospital Dr, in the city of Glen Burnie, MD, with the postal code 210615803.

Could you please provide the complete street address where Charles Ignatius Lamertina is physically located?

The Charles Ignatius Lamertina is physically situated at the following address: 301 Hospital Dr, Glen Burnie, MD, 210615803.

When did the Charles Ignatius Lamertina receive its 1417910837?

The Charles Ignatius Lamertina was issued its 1417910837 on 2006-04-07, which is the date when the organization was assigned this unique identifier.

On what date did the Charles Ignatius Lamertina receive its 1417910837 assignment from the Centers for Medicare & Medicaid Services?

The Charles Ignatius Lamertina was assigned its 1417910837 by the Centers for Medicare & Medicaid Services on 2006-04-07.

As of what date were the details related to Charles Ignatius Lamertina most recently updated or revised?

The information pertaining to Charles Ignatius Lamertina, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-16.

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