Doctor Name: | MARIA LUISA CRUZ |
NPI Number: | 1720091838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD030071E |
Business Practice Address: | 40 W Wellsboro St Mansfield Laurel Health Center Mansfield, PA - 169331411 |
Business Phone Number: | 5706622002 |
Business Fax Number: | 5706622025 |
Mailing Address: | 22 Walnut St, Laurel Health Center Administration Attn:maria Smith WELLSBORO |
State: | PA |
Postal Code: | 169011526 |
Phone Number: | 5707230621 |
Fax Number: | 5707241197 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 12/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD030071E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |