Healthcare Provider Details

I. General information

NPI: 1013375492
Provider Name (Legal Business Name): LEHIGH VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1637 CHEW ST
ALLENTOWN PA
18102-3648
US

IV. Provider business mailing address

1247 S CEDAR CREST BLVD SUITE 105
ALLENTOWN PA
18103-6298
US

V. Phone/Fax

Practice location:
  • Phone: 610-969-2780
  • Fax: 610-969-2784
Mailing address:
  • Phone: 610-402-1852
  • Fax: 610-402-1802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP415123L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT TOCCI
Title or Position: DIRECTOR, BUSINESS OPERATIONS
Credential:
Phone: 610-969-2780