| Lehigh Valley Physician Group | |
|
1275 S Cedar Crest Blvd Ste 5 Allentown PA 18103-6207 | |
| (610) 821-2820 | |
| (610) 821-2859 |
| Full Name | Lehigh Valley Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1275 S Cedar Crest Blvd Ste 5, 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 |
|---|---|
| Lehigh Valley Physician Group 1605 N Cedar Crest Blvd Ste 110b Allentown PA 18104-2351 Ph: (610) 973-1410 | Lehigh Valley Physician Group 1275 S Cedar Crest Blvd Ste 5 Allentown PA 18103-6207 Ph: (610) 821-2820 |
| NPI Number | 1912525247 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912525247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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