Individual
LAURA J RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1840
(570) 723-0140
(570) 724-6541
Mailing address
32-36 CENTRAL AVE, MEDICAL STAFF OFFICE, WELLSBORO, PA 16901-1840
(570) 723-0104
(570) 723-0118
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD417606
PA
207R00000X
Internal Medicine Physician
Primary
MD417606
PA
208M00000X
Hospitalist Physician
MD417606
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018930620001
—
PA
05
—
02242588
—
NY
01
—
RI1388404
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
08/13/2006
Last updated
04/11/2014
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