Individual
MR. SAMUEL SIMON LAUCKS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MONUMENT RD STE 145, YORK, PA 17403-5057
(717) 812-2480
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD027130E
PA
208C00000X
Colon & Rectal Surgery Physician
MD027130E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001216374
—
PA
05
—
0012163740002
—
PA
01
—
01303901
BLUE CROSS
PA
01
—
127981
BLUE SHIELD
PA
Enumeration date
08/04/2006
Last updated
05/02/2025
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