| NPI | 1508924069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C LOMBARD Office Manager 570-283-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD029325E) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-04-01 |