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

Wayne Memorial Community Health Centers

Organization Internal Medicine Physician · NPI 1174974232

Wayne Memorial Community Health Centers is an Internal Medicine Physician in Lake Ariel, Pennsylvania. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

358 Hamlin Hwy
Lake Ariel, PA 18436-9382
Phone: (570) 689-9965
Show map & directions

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

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1174974232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Lacey — Chief Executive Officer · (570) 253-8451
Other names Lake Ariel Family Health Center
NPI enumeratedJune 29, 2016
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address601 Park St, Honesdale, PA 18431-1445