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Individual

LAURENCE J. SPITZER

Active
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Individual

LAURENCE J. SPITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD056520L
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD056520L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019091710007
PA
01
00190917101
AMERICHOICE (UHC MA PLAN)
PA
01
08722-MD056520L
HEALTH PARTNERS
PA
01
1537035
HIGHMARK BLUE SHIELD
PA
01
2221773000
IBC - PC/KHPE
PA
01
30010498
KEYSTONE MERCY
PA
01
3541900
AETNA HMO
PA
01
3563229
CIGNA HMO/PPO
PA
01
7939510
AETNA PPO
PA
01
P00037205
RRM
PA
Enumeration date
05/12/2006
Last updated
07/21/2022
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