# LACKAWANNA SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851469738
- **Authorized official:** DR. MARK A FRATTALI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (570) 346-7900

## Contact information

- **Practice address:** 415 ADAMS AVENUE, SCRANTON, PA 18510
- **Practice address phone:** (570) 504-8100
- **Practice address fax:** (570) 504-8106
- **Mailing address:** PO BOX 3445, SCRANTON, PA 18505-0445
- **Mailing address phone:** (570) 504-8100
- **Mailing address fax:** (570) 504-8106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 21511501 | PA | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 08/16/2007