Provider Demographics
NPI:1306847082
Name:ROGINA, LAWRENCE E (DO)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:E
Last Name:ROGINA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:12525 N WELTY RD
Practice Address - Street 2:SUITE B
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-1719
Practice Address - Country:US
Practice Address - Phone:717-762-8138
Practice Address - Fax:717-762-4551
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006471E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007307260034OtherMEDICAID GROUP #
PA283965OtherMAMSI
PAG920-0021/535889OtherCAREFIRST
PA120420404OtherDEPT OF LABOR
PA1336367OtherFIRST HEALTH
PA1534203OtherGATEWAY
PA2332466OtherAETNA HMO
PA5765003OtherAETNA NON-HMO
PAOS006471EOtherLICENSE
PA25-1716306OtherINTERGROUP
PA867633OtherMEDICARE GROUP #
PA122696OtherUNISON
PA2021101OtherCAPITAL BLUECROSS
PA25-1716306OtherDEVON
PA25-1716306OtherMULTIPLAN/PHCS
PA25-1716306OtherHEALTHNET/TRICARE
PA669499OtherHIGHMARK BLUESHIELD
PAP00052479OtherRAILROAD MEDICARE
PA25-1716306OtherINFORMED
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA001247512 0004Medicaid
PA0012475120002Medicaid
PA25-1716306OtherGREATWEST HEALTHCARE
PA427317OtherHEALTH AMERICA
PA427317OtherHEALTH AMERICA
PA1007307260034OtherMEDICAID GROUP #
PA120420404OtherDEPT OF LABOR