Organization
LAKE REGION URGENT CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN W MATLAGA D.O. (MEDICAL DIRECTOR)
(570) 390-4545
Entity
Organization
Contact information
Practice address
103 SPRUCE ST, SUITE 201, HAWLEY, PA 18428-1149
(570) 390-4545
(570) 390-4546
Mailing address
PO BOX 1733, KINGSTON, PA 18704-0733
(570) 390-4545
(570) 390-4546
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
02/17/2010
Last updated
07/13/2011
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