Individual
LAURICE ANN HEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 ST PAUL DR STE 207, CHAMBERSBURG, PA 17201-1035
(717) 217-6882
(717) 217-6883
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD048664L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001462153 0002
—
PA
01
—
120420413
DEPT OF LABOR
PA
01
—
1360595
AETNA HMO
PA
01
—
1559522
GATEWAY
PA
01
—
186916
UNISON
PA
01
—
237267
MAMSI
PA
01
—
25-1716306
HEALTHNET/TRICARE
PA
01
—
440483
HEALTH AMERICA
PA
01
—
4532284
AETNA NON-HMO
PA
01
—
50063263
CAPITAL BLUECROSS
PA
01
—
770645
HIGHMARK BLUE SHIELD
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
G920-0089/KV77CU
CAREFIRST
PA
01
—
MD048664L
LICENSE
PA
01
—
P00377944
RAILROAD MEDICARE
PA
Enumeration date
04/08/2006
Last updated
03/07/2023
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