| NPI | 1235373135 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2009-04-23 |
| Last Updated | 2023-10-04 |
| Mailing Address | 225 Touraine Rd Grosse Pointe Farms, MI 48236-3323 United States Phone: (808) 228-8127 📍 View Map |
| Primary Practice Address | 19460 Grand River Ave Detroit, MI 48223 United States Phone: (313) 387-1097 | Fax: (313) 387-8795 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | MI | 4301116455 |
| No | 207Q00000X – Family Medicine | WA | 60287621 |
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About NPI 1235373135
Charlton Castillo Lacerna M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1235373135. The primary specialty listed is Family Medicine. The provider is located in Detroit, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-04-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1235373135?
NPI 1235373135 belongs to Charlton Castillo Lacerna M.D., a Family Medicine in Detroit, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1235373135 active?
The current status of NPI 1235373135 in the NPPES registry is Active. The record was last updated on 2023-10-04.
What specialty is NPI 1235373135?
NPI 1235373135 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1235373135?
You can verify NPI 1235373135 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1235373135?
The primary practice address on file for NPI 1235373135 is 19460 Grand River Ave, Detroit, MI 48223. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1235373135 issued?
NPI 1235373135 was first issued (enumerated) on 2009-04-23. The NPPES record was last updated on 2023-10-04.
Practice Location Map
Charlton Castillo Lacerna is located at 19460 Grand River Ave, Detroit, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Charlton Castillo Lacerna. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1235373135. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 4301116455 | MI |
| Family Medicine | 60287621 | WA |