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Organization
TIOGA HEALTH CARE PROVIDERS 11
Active
Organization
TIOGA HEALTH CARE PROVIDERS 11
Active
Parent organization
LAUREL HEALTH SYSTEM
Other names
Pine Creek Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAUREL HEALTH SYSTEM
Authorized official
WALTER J LAIBINIS DO (PARTNER)
(570) 724-3744
Entity
Organization
Contact information
Practice address
15 MEADE ST, SUITE U4, WELLSBORO, PA 16901-1813
(570) 724-3744
(570) 724-2459
Mailing address
15 MEADE ST, SUITE U4, WELLSBORO, PA 16901-1813
(570) 724-3744
(570) 724-2459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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