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NPI Code Detail

MEDICARE: LEHIGH VALLEY PHYSICIAN GROUP

MEDICARE: LEHIGH VALLEY PHYSICIAN GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1467112649
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEHIGH VALLEY PHYSICIAN GROUP
Provider Business Mailing Address
First Line : PO BOX 783311
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-3311
Country : US
Telephone Number : 484-884-4500
Fax Number : 484-884-0699
Provider Business Practice Location Address
First Line : 7096 DECATUR ST
Second Line :
City : NEW TRIPOLI
State : PA
Zip : 18066-3815
Country : US
Telephone Number : 610-298-8521
Fax Number : 610-298-3021
Authorized Official
Title or Position : SR VP & CHIEF VALUE OFFICER
Name : JENNIFER STEPHENS
Credential :
Telephone Number : 484-884-4500
Provider Enumeration Date : 12/29/2021
Last Update Date : 01/29/2025

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Directions to “LEHIGH VALLEY PHYSICIAN GROUP ” Practice Location

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