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Dr. Samuel Seungkwon La, MD
Pediatric Radiology Physician in Ephrata, Pennsylvania
NPI 1811948706

Samuel Seungkwon La is a Pediatric Radiology Physician based in York, PA and is specialized in Pediatric Radiology. Samuel Seungkwon La practices in Ephrata, PA and has the professional credentials of MD. The NPI Number for Samuel Seungkwon La is 1811948706 and holds a License No. L6998 (Pennsylvania).

The current practice location address for Samuel Seungkwon La is 169 Martin Ave, Ephrata, PA and can be reached out via phone at 717-738-6618.

Location: 169 Martin Ave, Ephrata, PA, 17402-2231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811948706
Provider Name
Samuel Seungkwon La
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
169 Martin Ave, Ephrata, PA, 17402-2231
Phone Number
717-738-6618
Fax Number
Provider Enumeration Date
05/15/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L6998 01 TX TX PHYSICIANS PERMIT
165035001 05 TX
8G8484 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
169 Martin Ave
City
Ephrata
State
Pennsylvania
Zip
17522-1734
Phone Number
717-738-6618
Fax Number
person
Provider Business Mailing Address Details
Address
169 Martin Ave
City
Ephrata
State
Pennsylvania
Zip
17522-1734
Phone Number
717-738-6618
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
L6998 (Texas)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
L6998 (Texas)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
MD483989 (Pennsylvania)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
L6998 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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