Lehigh Valley Physician Group | |
1720 W Fairmont St Allentown PA 18104-3118 | |
(610) 841-2798 | |
(610) 841-2796 |
Full Name | Lehigh Valley Physician Group |
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Speciality | Family Medicine |
Location | 1720 W Fairmont St, Allentown, Pennsylvania |
Authorized Official Name and Position | Breanna Santiago (PROVIDER ENROLLMENT LIAISON) |
Authorized Official Contact | 4848840661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lehigh Valley Physician Group 1605 N Cedar Crest Blvd Ste 110b Allentown PA 18104-2351 Ph: (610) 973-1410 | Lehigh Valley Physician Group 1720 W Fairmont St Allentown PA 18104-3118 Ph: (610) 841-2798 |
NPI Number | 1851956171 |
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Provider Enumeration Date | 05/02/2019 |
Last Update Date | 05/02/2019 |
Identifier | Type | State | Issuer |
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1851956171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |