Provider Demographics
NPI:1295729812
Name:LAUCKS, STANLEY P JR (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:P
Last Name:LAUCKS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2501 OREGON PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4890
Mailing Address - Country:US
Mailing Address - Phone:717-293-3223
Mailing Address - Fax:717-390-2455
Practice Address - Street 1:7 RATHTON RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3717
Practice Address - Country:US
Practice Address - Phone:717-505-5070
Practice Address - Fax:717-505-5075
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2007-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD026449E2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA174187SG5Medicare PIN
C32797Medicare UPIN