Provider Demographics
NPI:1780681460
Name:LAURINO, RICHARD ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ANDREW
Last Name:LAURINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313-2314
Mailing Address - Country:US
Mailing Address - Phone:717-244-9500
Mailing Address - Fax:
Practice Address - Street 1:690 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-2314
Practice Address - Country:US
Practice Address - Phone:717-244-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001378L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA045490OtherHIGHMARK
PA2106504OtherMAMSI
PA0289797OtherCIGNA
PA01449001OtherCAPITAL BLUE CROSS
PA350014183OtherPALMETTO
PA7892398OtherAETNA PPO
PA3499742OtherAETNA HMO
PA1001794OtherAMERICAN SPECIALTY HEALTH
PA0289797OtherCIGNA
PAT27335Medicare UPIN