Doctor Name: | LAURA CRITCHFIELD |
NPI Number: | 1306110069 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | OA002824 |
Business Practice Address: | 941 Park Dr Palmyra, PA - 170783445 |
Business Phone Number: | 7178386305 |
Business Fax Number: | 7178385332 |
Mailing Address: | 1406 Skyview Cir Apt G, HARRISBURG |
State: | PA |
Postal Code: | 171109232 |
Phone Number: | 7178293002 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2012 |
NPI Last Update Date: | 11/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | OA002824 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |