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LAKE SCRANTON RENEW CENTER
NPI 1770285769
Internal Medicine - Addiction Medicine in Scranton, PA

Active since March 21, 2023
1141 MOOSIC ST STE 3, SCRANTON, PA 18505(570) 800-5926(570) 955-5556 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2023, Mar 21, 2023 (2 updates tracked since 2023).

About Lake Scranton Renew Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE SCRANTON RENEW CENTER (NPI 1770285769) is a healthcare organization registered as an addiction medicine in Scranton, Pennsylvania and active in the NPI registry since March 2023. The organization lists Brianne Balchune, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770285769
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameLAKE SCRANTON RENEW CENTER
Location Address1141 MOOSIC ST STE 3Scranton, PA 18505-2105
Mailing Address1141 Moosic St Ste 3Scranton, PA 18505-2105 · (570) 800-5926 · Fax (570) 955-5556
Phone(570) 800-5926
Fax(570) 955-5556
Organization SubpartYesParent: Lake Scranton Urgent Care Llc
Authorized OfficialBrianne BalchuneOffice Manager · (570) 800-5926
Enumeration DateMarch 21, 2023
Last NPPES UpdateApril 19, 20232 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1770285769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
1141 MOOSIC ST STE 3, Scranton, PA 18505
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION
Physical Medicine & Rehabilitation
1141 MOOSIC ST STE 3
SCRANTON, PA 18505
Lackawanna County (570) 451-3404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Scranton Renew Center's NPI number?

The NPI number for Lake Scranton Renew Center is 1770285769. It was assigned to this organization in the NPPES registry on March 21, 2023.

Where is Lake Scranton Renew Center located?

Lake Scranton Renew Center is located at 1141 Moosic St Ste 3, Scranton, PA 18505. The listed phone number is (570) 800-5926.

What is Lake Scranton Renew Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Lake Scranton Renew Center was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.