Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Other names
Lake Region Walk In
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LACEY (EXECUTIVE DIRECTOR)
(570) 253-8451
Entity
Organization
Contact information
Practice address
273 GRANDVIEW AVE, HONESDALE, PA 18431-1163
(570) 390-4545
(570) 390-4546
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8226
(570) 253-8228
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
03/05/2024
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