Organization
LUDWICK LASER & SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN LUDWICK M.D. (PRESIDENT)
(717) 264-6560
Entity
Organization
Contact information
Practice address
825 5TH AVE, SUITE 101, CHAMBERSBURG, PA 17201-4213
(717) 262-9700
(717) 264-6522
Mailing address
825 5TH AVE, SUITE 101, CHAMBERSBURG, PA 17201-4213
(717) 262-9700
(717) 264-6522
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3332132
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020010550001
—
PA
01
—
1927
HIGHMARK BLUE SHIELD
PA
01
—
390886
CAPITAL BLUE CROSS
PA
01
—
P00424256
RAILROAD MEDICARE
PA
Enumeration date
10/11/2006
Last updated
05/08/2015
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