Provider Demographics
NPI:1336390434
Name:SOMERS, LAURENCE ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:ALAN
Last Name:SOMERS
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 1:10 ANDORRA HILL RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-1705
Mailing Address - Country:US
Mailing Address - Phone:610-825-1122
Mailing Address - Fax:
Practice Address - Street 1:10 ANDORRA HILL RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-1705
Practice Address - Country:US
Practice Address - Phone:610-825-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 005156 E2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery