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Individual

LAURA WASILEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
820 SIR THOMAS CT, HARRISBURG, PA 17109-4839
(717) 652-9555
Mailing address
PO BOX 75420, BALTIMORE, MD 21275-5420
(703) 383-6469

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01100004662
VA
363A00000X
Physician Assistant
Primary
OA005969
PA

Other

Enumeration date
07/09/2014
Last updated
04/06/2022
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