| Organization Name: | STAT CARE FAMILY MEDICAL |
| NPI Number: | 1427255710 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | A. SCOTT LAKERNICK (PRACTICE OWNER) |
| Mailing Address: | 625 Chester Pike Prospect Park |
| State: | PA US |
| Postal Code: | 190761506 |
| Phone Number: | 4844948910 |
| Fax Number: | 6105347245 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |