Lackawanna Medical Group PC

NPI #1770650962 in Scranton, Pennsylvania

Provider Information

NPI Number
1770650962
Entity Type
Organization
Organization Name
Lackawanna Medical Group PC
Primary Specialty
Internal Medicine
Enumeration Date
Nov 30, 2006
Last Updated
Mar 3, 2016

Practice Location

Address
201 SMALLACOMBE DR
ZIP Code
18508-2616
Phone
(570) 961-0171

Authorized Official

Name
MR. CHARLES THOMAS GRAD JR.
Title
BUSINESS MANAGER
Phone
(570) 348-1130

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease
Internal Medicine - GastroenterologyGastroenterology
Nuclear Medicine - Nuclear CardiologyNuclear Cardiology
Pediatrics
Family Medicine
Physician Assistant
Nurse Practitioner - FamilyFamily
Internal Medicine

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