Organization
WHITE ROSE SURGICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL SIMON LAUCKS II MD (PRESIDENT)
(717) 848-2067
Entity
Organization
Contact information
Practice address
1601 SOUTH QUEEN STREET, YORK, PA 17403
(717) 848-2067
(717) 848-2074
Mailing address
1601 SOUTH QUEEN STREET, YORK, PA 17403
(717) 848-2067
(717) 848-2074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02578700
BLUE CROSS
PA
01
—
602560
BLUE SHIELD
PA
Enumeration date
08/04/2006
Last updated
04/30/2008
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