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Individual

LAURA DAWN SHANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-3884
(717) 851-3382
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-3884
(717) 851-3382

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD435058
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102194292
PA
01
120281
GEISINGER HEALTH PLAN
PA
01
20078635
AMERIHEALTH MERCY-WMG
PA
01
211820
JOHNS HOPKINS
PA
01
249998
UNISON-WMG
PA
01
50079530
CAPITAL BLUE CROSS-WMG
PA
01
935558
CAREFIRST MD BCBS
MD
01
9775205
AETNA
PA
Enumeration date
03/06/2007
Last updated
02/04/2014
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