Individual
DR. LAURENCE ALAN PRIMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 SCENERY DR, STATE COLLEGE, PA 16801-7974
(814) 231-4560
(814) 231-6246
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD031875E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010272140012
—
PA
Enumeration date
07/06/2006
Last updated
10/25/2023
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