Laucks, Samuel Simon

Laucks, Samuel Simon is an individual health care provider with primary practice located at 1601 S Queen St , York PA 17403-4630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Laucks, Samuel Simon can be contacted via phone (717) 812-7500.

Contact Information

Primary practice address
1601 S Queen St York PA 17403-4630
Phone: (717) 812-7500
Fax: (717) 848-2074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD027130E Pennsylvania
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD027130E Pennsylvania

Profile Details

NPI number 1487662342
LBN Legal business name Laucks, Samuel Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 20th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487662342 NPPES
Pennsylvania Other 01303901 BLUE CROSS
Pennsylvania MEDICAID 0012163740002 BLUE CROSS
Pennsylvania Other 127981 BLUE CROSS
Pennsylvania MEDICAID 001216374 BLUE CROSS

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