Individual
DR. LAWRENCE STEVEN TOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3198
(570) 321-2619
(570) 321-2670
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD040881E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080443
FIRST PRIORITY HEALTH
PA
05
—
1010097740001
—
PA
01
—
1489362
UNITEDHEALTHCARE
PA
01
—
50054360
CAPITAL BLUE CROSS
PA
01
—
515508
HIGHMARK BLUE SHIELD
PA
01
—
547104
AETNA
PA
01
—
B42336
HEALTHAMERICA
PA
Enumeration date
03/08/2006
Last updated
01/11/2012
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