Provider Demographics
NPI:1548226186
Name:SOGES, LAURENCE JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:JOHN
Last Name:SOGES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GEISINGER MEDICAL CENTER, DEPT RADIOLOGY
Mailing Address - Street 2:100 N ACADEMY AVE
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-0001
Mailing Address - Country:US
Mailing Address - Phone:570-271-6301
Mailing Address - Fax:
Practice Address - Street 1:GEISINGER MEDICAL CENTER, DEPT RADIOLOGY
Practice Address - Street 2:100 N ACADEMY AVE
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-0001
Practice Address - Country:US
Practice Address - Phone:570-271-6301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 040716 E2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B82790Medicare UPIN