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Organization
WILLIAM L LAURY MD PC
Active
Organization
WILLIAM L LAURY MD PC
Active
Other names
Laury Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L. LAURY SR. M.D. (CEO)
(215) 924-4440
Entity
Organization
Contact information
Practice address
834 E UPSAL ST, PHILADELPHIA, PA 19119-1541
(215) 924-4440
(610) 525-0852
Mailing address
834 E UPSAL ST, PHILADELPHIA, PA 19119-1541
(215) 924-4440
(610) 525-0852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006482400004
—
PA
01
—
0054066000
IBC
PA
01
—
0064824003
AMERICHOICE OF PA
PA
01
—
075910
BC BS
PA
01
—
1078975
KEYSTONE MERCY
PA
01
—
2166
BRAVO ELDER HEALTH
PA
01
—
37461
HEALTH PARTNERS
PA
01
—
7104021
AETNA
PA
01
—
P00079200
RAILROAD MEDICARE
PA
01
—
P526589
OXFORD HEALTH
PA
Enumeration date
08/22/2006
Last updated
10/18/2023
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