Provider Demographics
NPI:1033144076
Name:FIELDING, LAWRENCE PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:PETER
Last Name:FIELDING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:L. PETER
Other - Middle Name:
Other - Last Name:FIELDING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1185 WYNDSONG DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4491
Mailing Address - Country:US
Mailing Address - Phone:717-854-2354
Mailing Address - Fax:
Practice Address - Street 1:1185 WYNDSONG DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4491
Practice Address - Country:US
Practice Address - Phone:717-854-2354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063029L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA163462OtherHIGHMARK BLUE SHIELD
MD037471700Medicaid
PA039276OtherJOHNS HOPKINS
PA5566605OtherAETNA
PA001669594Medicaid
PA1519856OtherGATEWAY-WMG
PA81874OtherGEISINGER
PA001890FLTMedicare PIN
PA81874OtherGEISINGER
PA5566605OtherAETNA