Organization
LACKAWANNA VALLEY DERMATOLOGY ASSOCIATES LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG A SEVERS D.O. (SECRETARY)
(570) 961-5522
Entity
Organization
Contact information
Practice address
327 N WASHINGTON AVE, SUITE 200, SCRANTON, PA 18503-1549
(570) 961-5522
(570) 207-5579
Mailing address
327 N WASHINGTON AVE, SUITE 200, SCRANTON, PA 18503-1549
(570) 961-5522
(570) 207-5579
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
02/26/2015
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