Lena, Marie S
Lena, Marie S is an individual health care provider with primary practice located at 531 Mt Pleasant Dr , Scranton PA 18503-1987. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lena, Marie S can be contacted via phone (570) 342-8500.Contact Information
Primary practice address
531 Mt Pleasant Dr
Scranton PA 18503-1987
Phone: (570) 342-8500
Fax: (570) 558-2290
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD062332L | Pennsylvania |
Profile Details
NPI number | 1083796411 |
---|---|
LBN Legal business name | Lena, Marie S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2006 |
Last updated | Aug 31st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083796411 | NPPES |
Other | 965431 | BLUE SHIELD | |
MEDICAID | 00165430 | BLUE SHIELD | |
Other | 001894 | BLUE SHIELD |
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