Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lake Scranton Renew Center

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1770285769

Lake Scranton Renew Center is an Addiction Medicine (Internal Medicine) Physician in Scranton, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1141 Moosic St Ste 3
Scranton, PA 18505-2105
Phone: (570) 800-5926
Fax: (570) 955-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X

Record details

NPI number1770285769
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Scranton Urgent Care LLC
Authorized official Brianne Balchune — Office Manager · (570) 800-5926
NPI enumeratedMarch 21, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023
Mailing address1141 Moosic St Ste 3, Scranton, PA 18505-2105