| Lake Region Urgent Care, Pc | |
|
103 Spruce St Suite 201 Hawley PA 18428-1149 | |
| (570) 390-4545 | |
| (570) 390-4546 |
| Full Name | Lake Region Urgent Care, Pc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 103 Spruce St, Hawley, Pennsylvania |
| Authorized Official Name and Position | Roman W Matlaga (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5703904545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Region Urgent Care, Pc Po Box 1733 Kingston PA 18704-0733 Ph: (570) 390-4545 | Lake Region Urgent Care, Pc 103 Spruce St Suite 201 Hawley PA 18428-1149 Ph: (570) 390-4545 |
| NPI Number | 1881916989 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 07/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881916989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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