Individual
LAURIE LOIACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-4903
(570) 808-7856
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
041526
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001415266
—
CT
Enumeration date
07/13/2005
Last updated
08/11/2014
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