Healthcare Provider Details

I. General information

NPI: 1992261382
Provider Name (Legal Business Name): LEHIGH VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 LEHIGH ST STE 600
ALLENTOWN PA
18103-4938
US

IV. Provider business mailing address

2024 LEHIGH ST STE 600
ALLENTOWN PA
18103-4938
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-2748
  • Fax: 610-402-5228
Mailing address:
  • Phone: 610-402-2748
  • Fax: 610-402-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN MOLITORIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 484-884-0974