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DR. ALICE M LASKARIS M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1922037373
Individual Registrant:DR. ALICE M LASKARIS M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
365 WARD DRIVE CLAYSBURG, PA 16625-9742 US
Tel: 814-239-2211 Fax: 814-239-8116
Tel: 814-239-2211 Fax: 814-239-8116
Contact information for business:
365 WARD DRIVE PO BOX 267 CLAYSBURG, PA 16625-9742 US
Tel: 814-239-2211 Fax: 814-239-8116
Tel: 814-239-2211 Fax: 814-239-8116
Registration Information:
NPI: 1922037373
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | PA | MD039469E |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| HIGHMARK BLUE SHIELD | 580266 | PA | 01 |
| 01186631 | PA | 05 |
