Lincoln Ave Medical

NPI #1083092720 in Carbondale, Pennsylvania

Provider Information

NPI Number: 1083092720
Entity Type: Organization
Organization Name: Lincoln Ave Medical
Primary Specialty: Specialist
Enumeration Date: May 14, 2015
Last Updated: Dec 27, 2019

Practice Location

Address: 100 LINCOLN AVE
City: Carbondale
State: Pennsylvania
ZIP Code: 18407-2116
Phone: (570) 284-5100

Authorized Official

Name: CHRISTOPHER HALL
Title: DIRECTOR OF BILLING
Phone: (772) 261-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

Additional Practice Locations

141 Salem Ave

Carbondale, PA, 18407-2574

(772) 252-1235

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