Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
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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