Individual
MARIE S LENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
531 MT PLEASANT DR, SCRANTON, PA 18503-1987
(570) 342-8500
(570) 558-2290
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD062332L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00165430
—
PA
01
—
001894
FIRST PRIORITY HEALTH
—
01
—
965431
BLUE SHIELD
—
Enumeration date
10/19/2006
Last updated
08/31/2020
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