OrganizationActive
Lake Scranton Renew Center
NPI 1770285769 · Addiction Medicine (Internal Medicine) Physician · Scranton, PA
Provider details
- NPI number
- 1770285769
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lake Scranton Urgent Care LLC
- Organization subpart
- Yes
- Authorized official
- Brianne Balchune, Office Manager(570) 800-5926
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1141 Moosic St Ste 3
Scranton, PA 18505-2105
Phone: (570) 800-5926
Fax: (570) 955-5556
Street-level locationGet directions
Mailing address
1141 Moosic St Ste 3
Scranton, PA 18505-2105
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2023-04-19
- Certified
- 2023-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.