Healthcare Provider Details

I. General information

NPI: 1558706028
Provider Name (Legal Business Name): LAURA ELIZABETH BEER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA ELIZABETH DEPMAN

II. Dates (important events)

Enumeration Date: 05/09/2013
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 OREGON PIKE STE A100
LANCASTER PA
17601-4206
US

IV. Provider business mailing address

1725 OREGON PIKE STE A100
LANCASTER PA
17601-4206
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-8518
  • Fax:
Mailing address:
  • Phone: 717-569-8518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD468030
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: