Provider Demographics
NPI:1578566170
Name:ARELLANO, LAMBERTO MAGNO (MD)
Entity Type:Individual
Prefix:DR
First Name:LAMBERTO
Middle Name:MAGNO
Last Name:ARELLANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 MONROE TER
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4117
Mailing Address - Country:US
Mailing Address - Phone:302-734-3537
Mailing Address - Fax:302-734-0538
Practice Address - Street 1:811 MONROE TER
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4117
Practice Address - Country:US
Practice Address - Phone:302-734-3537
Practice Address - Fax:302-734-0538
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0001956207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000098402Medicaid
DE0000098402Medicaid
140143Medicare PIN