Healthcare Provider Details

I. General information

NPI: 1215978119
Provider Name (Legal Business Name): LEHIGH VALLEY PEDIATRIC ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 S CEDAR CREST BLVD STE 109
ALLENTOWN PA
18103-6205
US

IV. Provider business mailing address

1251 S CEDAR CREST BLVD STE 109
ALLENTOWN PA
18103-6205
US

V. Phone/Fax

Practice location:
  • Phone: 610-434-2162
  • Fax: 484-403-4011
Mailing address:
  • Phone: 610-434-2162
  • Fax: 484-403-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CATHY WILLIAMS
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 610-434-2162