| Lehigh Valley Integrative Clinical Services | |
|
41 Community Dr Easton PA 18045-2668 | |
| (610) 438-5827 | |
| Not Available |
| Full Name | Lehigh Valley Integrative Clinical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 41 Community Dr, Easton, Pennsylvania |
| Authorized Official Name and Position | Johnathan Jones (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6104385827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehigh Valley Integrative Clinical Services 41 Community Dr Easton PA 18045-2668 Ph: () - | Lehigh Valley Integrative Clinical Services 41 Community Dr Easton PA 18045-2668 Ph: (610) 438-5827 |
| NPI Number | 1669055349 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 5597156224 |
|---|---|
| Medicare Enrollment ID | O20220216000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669055349 | NPI | - | NPPES |
| 1039062240001 | Medicaid | PA |
| Provider Name | Abdelrahman Abdelaziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871960930 PECOS PAC ID: 9931453032 Enrollment ID: I20181108000054 |
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