Organization
LAKE SCRANTON RENEW CENTER
Active
Parent organization
LAKE SCRANTON URGENT CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE SCRANTON URGENT CARE LLC
Authorized official
BRIANNE BALCHUNE (OFFICE MANAGER)
(570) 800-5926
Entity
Organization
Contact information
Practice address
1141 MOOSIC ST STE 3, SCRANTON, PA 18505-2105
(570) 800-5926
(570) 955-5556
Mailing address
1141 MOOSIC ST STE 3, SCRANTON, PA 18505-2105
(570) 800-5926
(570) 955-5556
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
04/19/2023
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