| NPI | 1295743243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL SIMON LAUCKS President 717-848-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-04-30 |