Organization
LUZERNE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA C JACKETTI RN (CEO GENERAL MANAGER)
(570) 459-5144
Entity
Organization
Contact information
Practice address
238 W CHESTNUT ST, HAZLETON, PA 18201-6265
(570) 459-5144
(570) 459-0806
Mailing address
238 W CHESTNUT ST, HAZLETON, PA 18201-6265
(570) 459-5144
(570) 459-0806
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011737870001
—
PA
Enumeration date
11/16/2005
Last updated
07/21/2022
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