Organization
HAVEN HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY LAZORKA (MANAGER)
(570) 858-5328
Entity
Organization
Contact information
Practice address
45 BELLEFONTE AVE, LOCK HAVEN, PA 17745
(570) 337-3440
Mailing address
45 BELLEFONTE AVE, SUITE #2, LOCK HAVEN, PA 17745
(570) 858-5328
(570) 858-5355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
11/07/2024
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