| NPI | 1346854270 |
|---|---|
| Doing Business As | LAKE REGION WALK IN |
| Entity Type | Organization |
| Authorized Contact | TERESA LACEY Executive Director 570-253-8451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2024-03-05 |