Healthcare Provider Details

I. General information

NPI: 1225075765
Provider Name (Legal Business Name): LAPORTA AND ASSOCIATES,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 12/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 E DRINKER ST SUITE 101
DUNMORE PA
18512-2469
US

IV. Provider business mailing address

414 E DRINKER ST SUITE 101
DUNMORE PA
18512-2469
US

V. Phone/Fax

Practice location:
  • Phone: 570-348-1757
  • Fax: 570-348-6721
Mailing address:
  • Phone: 570-348-1757
  • Fax: 570-348-6721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. GUIDO A LAPORTA
Title or Position: PRESIDENT
Credential: DPM
Phone: 570-348-1757