Organization
LAKE SCRANTON URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE BALCHUNE (OFFICE MANAGER)
(570) 800-5926
Entity
Organization
Contact information
Practice address
1141 MOOSIC ST, SUITE 3, SCRANTON, PA 18505-2105
(570) 800-5926
(570) 955-5556
Mailing address
1141 MOOSIC ST, SUITE 3, SCRANTON, PA 18505-2105
(570) 800-5926
(570) 955-5556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/30/2023
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