Provider Demographics
NPI:1649319922
Name:SOENEN, SHERRY LAU (MD)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:LAU
Last Name:SOENEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-3467
Practice Address - Fax:717-798-3677
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFS0127553207R00000X
PAMD430172207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA107063OtherGEISINGER
PA211661OtherJOHNS HOPKINS
PA270925OtherUNISON
PA20061654OtherAMERIHEALTH MERCY-WMG
PA9734063OtherAETNA
PA101902520Medicaid
PA2163450OtherMAMSI-WMG
PA50066295OtherCAPITAL BLUE CROSS-WMG
PAP008620OtherGATEWAY-WMG
PA1933249OtherHIGHMARK BLUE SHIELD
MD895916OtherCAREFIRST MD BCBS
PA20061654OtherAMERIHEALTH MERCY-WMG
PA107063OtherGEISINGER