Old Forge Wellness LLC

NPI #1649045451 in Old Forge, Pennsylvania

Provider Information

NPI Number: 1649045451
Entity Type: Organization
Organization Name: Old Forge Wellness LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 21, 2023
Last Updated: Nov 21, 2023

Practice Location

Address: 821 S MAIN ST STE 1
City: Old Forge
State: Pennsylvania
ZIP Code: 18518-1497
Phone: (570) 774-4171

Authorized Official

Name: LORI ANN SLOCUM, PHARMD
Title: CEO
Phone: (570) 774-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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