Individual
MELISSA LAIDACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 UNION DEPOSIT RD STE 140, HARRISBURG, PA 17111-3774
(717) 652-6605
(717) 652-6431
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-2316
(717) 848-5540
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP015234
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO1676466
RAILROAD MEDICARE
PA
Enumeration date
11/02/2015
Last updated
01/29/2021
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