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Individual

DR. GUIDO A LAPORTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
414 E DRINKER ST, SUITE 101, DUNMORE, PA 18512-2469
(570) 348-1757
(570) 348-6721
Mailing address
414 E DRINKER ST, SUITE 101, DUNMORE, PA 18512-2469
(570) 348-1757
(570) 348-6721

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC001558L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC001558L
PA
213ES0131X
Foot Surgery Podiatrist
SC001558L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000506182
PA
01
442480346
RAILROAD MEDICARE
PA
Enumeration date
04/25/2006
Last updated
06/18/2014
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