| Cody Tyler Lancellotti, MS, LAT, ATC | |
|
1525 Greenspring Valley Rd, Stevenson, MD 21153-0641 | |
| (717) 825-6756 | |
| Not Available |
| Full Name | Cody Tyler Lancellotti |
|---|---|
| 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 |
|---|---|
| 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 |