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Organization

WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Active
Other names
Lake Ariel Family Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA LACEY (CHIEF EXECUTIVE OFFICER)
(570) 253-8451
Entity
Organization

Contact information

Practice address
358 HAMLIN HWY, LAKE ARIEL, PA 18436-9382
(570) 689-9965
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8226

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
06/29/2016
Last updated
01/16/2025
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