Provider Demographics
NPI:1003860511
Name:BOOKS, LAUREL ERIN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:ERIN
Last Name:BOOKS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:ERIN
Other - Last Name:DZIUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:409 S 2ND ST
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2025 TECHNOLOGY PKWY STE 400
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9400
Practice Address - Country:US
Practice Address - Phone:717-791-2520
Practice Address - Fax:717-791-0061
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052164363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103141239Medicaid
PAMA052164OtherLICENSE