MEDICARE: CHRISTOPHER LANCE WRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	197094	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00346636	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101540BJ	OTHER	NY	PREFERRED CARE
2	P020197094	OTHER	NY	BLUE SHIELD OF ROCHESTER
3	P030197094	OTHER		ROCHESTER BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	P010197094	OTHER	NY	BC/BS OF ROCHESTER
7	5926199	OTHER	NY	AETNA PROVIDER ID
8	P010197094	OTHER		MONROE PLAN

General Provider Information

NPI Number	:	1437111531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER LANCE WRIGHT

Provider Business Mailing Address
First Line	:	2 COULTER RD
Second Line	:
City	:	CLIFTON SPRINGS
State	:	NY
Zip	:	14432-1122
Country	:	US
Telephone Number	:	315-462-1560
Fax Number	:	315-462-6636

Provider Business Practice Location Address
First Line	:	2 COULTER RD
Second Line	:
City	:	CLIFTON SPRINGS
State	:	NY
Zip	:	14432-1122
Country	:	US
Telephone Number	:	315-462-1560
Fax Number	:	315-462-6636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	09/22/2012

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Directions to “ CHRISTOPHER LANCE WRIGHT ” Practice Location

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