Basic Information
| Provider Information | |||||||||
| NPI: | 1558519843 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAUGHNER | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | GERALD | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 426 WATER STREET EXT APT A4 | ||||||||
| Address2: | |||||||||
| City: | JOHNSONBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 158451530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8149653454 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2141 PENNSYLVANIA AVE | ||||||||
| Address2: | CONCENTRA MEDICAL CENTERS | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177641008 | ||||||||
| FaxNumber: | 7177641017 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2008 | ||||||||
| LastUpdateDate: | 08/29/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 0S-004393L | PA | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.