Individual
KELLE LACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
743 JEFFERSON AVE STE 305, SCRANTON, PA 18510-1639
(570) 342-1776
(570) 963-0663
Mailing address
743 JEFFERSON AVE STE 305, SCRANTON, PA 18510-1639
(570) 342-1776
(570) 963-0663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN537951
PA
363LF0000X
Family Nurse Practitioner
Primary
SP024382
PA
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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