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

Old Forge Wellness LLC

Organization Internal Medicine Physician · NPI 1649045451

Old Forge Wellness LLC is an Internal Medicine Physician in Old Forge, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

821 S Main St Ste 1
Old Forge, PA 18518-1497
Phone: (570) 774-4171
Fax: (570) 457-3220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1649045451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Slocum — Ceo · (570) 774-4171
NPI enumeratedNovember 21, 2023
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing address821 S Main St Ste 1, Old Forge, PA 18518-1497

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