Individual
JOSEPH ANTHONY LAURITO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8955
(717) 531-4587
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00181900
NJ
363A00000X
Physician Assistant
Primary
MA053022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031477420001
—
PA
Enumeration date
07/10/2007
Last updated
09/25/2019
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