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Lake Scranton Renew Center
Addiction Medicine (Internal Medicine) Physician in Scranton, Pennsylvania
NPI 1770285769

Lake Scranton Renew Center is an Addiction Medicine (Internal Medicine) Physician based in Scranton, PA and is specialized in Addiction Medicine. Lake Scranton Renew Center practices in Scranton, PA. The NPI Number for Lake Scranton Renew Center is 1770285769 and holds a License No. (Pennsylvania).

The current practice location address for Lake Scranton Renew Center is 1141 Moosic St Ste 3, Scranton, PA and can be reached out via phone at 570-800-5926 and via fax at 570-955-5556. You can also correspond with Lake Scranton Renew Center through the mailing address at 1141 MOOSIC ST STE 3, SCRANTON, PA - 18505-2105 (mailing address contact number: 570-800-5926).

Location: 1141 Moosic St Ste 3, Scranton, PA, 18505-2105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770285769
Provider Name
Lake Scranton Renew Center
Credential
Provider Entity Type
Organization
Address
1141 Moosic St Ste 3, Scranton, PA, 18505-2105
Phone Number
570-800-5926
Fax Number
570-955-5556
Provider Enumeration Date
03/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1141 Moosic St Ste 3
City
Scranton
State
Pennsylvania
Zip
18505-2105
Phone Number
570-800-5926
Fax Number
570-955-5556
person
Provider Business Mailing Address Details
Address
1141 Moosic St Ste 3
City
Scranton
State
Pennsylvania
Zip
18505-2105
Phone Number
570-800-5926
Fax Number
570-955-5556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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