Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY TYLER LANCELLOTTI, MS, LAT, ATC
Active Sole ProprietorSports Medicine (EM) · STEVENSON, MD
Registration Details
- NPI Number
- 1285367722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2022 (3.8086265586951 yrs)
- Last Updated
- Jul 1, 2022
- License
-
A01097 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1525 GREENSPRING VALLEY RDSTEVENSON, MD, 211530641Browse MD providers · Browse ZIP 21153
- Phone
- 7178256756
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.