| NPI | 1639127111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE E MUMIE President Physician 570-454-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 2745474) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PA 39D0952538) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-11-27 |