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Individual

LAURA S CRITCHFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
845 FISHBURN RD, HERSHEY, PA 17033
(717) 531-8181
(717) 531-3509
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056689
PA
363AM0700X
Medical Physician Assistant
OA002824
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103146146
PA
Enumeration date
02/28/2012
Last updated
07/06/2018
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