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1952378937

NPI Code Detail

MEDICARE: DR. LAWRENCE STEVEN TOMACK MD

MEDICARE: DR. LAWRENCE STEVEN TOMACK 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	208100000X	Physical Medicine & Rehabilitation Physician	MD040881E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1489362	OTHER	PA	UNITEDHEALTHCARE
3	515508	OTHER	PA	HIGHMARK BLUE SHIELD
4	B42336	OTHER	PA	HEALTHAMERICA
5	080443	OTHER	PA	FIRST PRIORITY HEALTH
6	547104	OTHER	PA	AETNA
7	50054360	OTHER	PA	CAPITAL BLUE CROSS

General Provider Information

NPI Number	:	1952378937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE STEVEN TOMACK MD

Provider Business Mailing Address
First Line	:	1201 GRAMPIAN BLVD
Second Line	:	SUITE 1K
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-1900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 HIGH ST
Second Line	:
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-3198
Country	:	US
Telephone Number	:	570-321-2619
Fax Number	:	570-321-2670

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	01/11/2012

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Directions to “ DR. LAWRENCE STEVEN TOMACK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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