Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
Other names
Lawrenceville Laurel Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M. VANZILE (CREDENTIALING COORDINATOR)
(570) 662-1945
Entity
Organization
Contact information
Practice address
32 E LAWRENCE RD, LAWRENCEVILLE HEALTH CENTER, LAWRENCEVILLE, PA 16929
(570) 827-0125
(570) 827-0129
Mailing address
6A RIVERSIDE PLZ, BLOSSBURG, PA 16912-1137
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000011720039
—
PA
Enumeration date
09/22/2006
Last updated
06/08/2022
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