Individual
DR. GRAHAM G LAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PINE GROVE CMNS, YORK, PA 17403-5176
(717) 851-6110
(717) 741-1076
Mailing address
429 N 21ST ST, CAMP HILL, PA 17011-2202
(717) 761-7244
(717) 761-2055
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD456389
PA
2086S0102X
Surgical Critical Care Physician
Primary
MD456389
PA
2086S0127X
Trauma Surgery Physician
MD456389
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103130736
—
PA
01
—
PO1831813
RAILROAD MEDICARE
PA
Enumeration date
06/04/2008
Last updated
03/24/2022
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