| Lori Williams-rudalavage Md Llc | |
|
157 Scranton Carbondale Hwy Pineline Plaza Eynon PA 18403-1027 | |
| (570) 230-0036 | |
| (570) 230-0042 |
| Full Name | Lori Williams-rudalavage Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 157 Scranton Carbondale Hwy, Eynon, Pennsylvania |
| Authorized Official Name and Position | Lori Williams (OWNER) |
| Authorized Official Contact | 5702300036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Williams-rudalavage Md Llc 157 Scranton Carbondale Hwy Pineline Plaza Eynon PA 18403-1027 Ph: (570) 230-0036 | Lori Williams-rudalavage Md Llc 157 Scranton Carbondale Hwy Pineline Plaza Eynon PA 18403-1027 Ph: (570) 230-0036 |
| NPI Number | 1528336880 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528336880 | NPI | - | NPPES |
| 2680260 | Other | PA | PA BLUE SHIELD |
| 616435200 | Other | PA | US DEPT OF LABOR- FECA/BLACK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD057902L (Pennsylvania) | Primary |
Mercy Group Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Scranton Carbondale Hwy, Eynon, PA 18403 Phone: 570-230-0036 Fax: 570-230-0042 | |
Your Physician Solutions, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Scranton Carbondale Hwy, Eynon, PA 18403 Phone: 570-876-2900 | |
Scranton Clinic Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Scranton Carbondale Hwy, Eynon, PA 18403 Phone: 570-230-0036 |