Individual
DR. ALICE M LASKARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
365 WARD DRIVE, CLAYSBURG, PA 16625-9742
(814) 239-2211
(814) 239-8116
Mailing address
365 WARD DRIVE, PO BOX 267, CLAYSBURG, PA 16625-9742
(814) 239-2211
(814) 239-8116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039469E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01186631
—
PA
01
—
580266
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/30/2006
Last updated
02/12/2009
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