MEDICARE: DR. LAURA ELIZABETH COOPER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	MD485693	PA

General Provider Information

NPI Number	:	1154855575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA ELIZABETH COOPER MD

Provider Business Mailing Address
First Line	:	1530 8TH AVE
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-1883
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 8TH AVE
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-1883
Country	:	US
Telephone Number	:	717-379-2033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2017
Last Update Date	:	01/22/2026

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