Healthcare Provider Details

I. General information

NPI: 1588687727
Provider Name (Legal Business Name): LEHIGH VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7300
US

IV. Provider business mailing address

2545 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7300
US

V. Phone/Fax

Practice location:
  • Phone: 484-884-7004
  • Fax: 484-884-2969
Mailing address:
  • Phone: 484-884-7004
  • Fax: 484-884-2969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP415403L
License Number StatePA

VIII. Authorized Official

Name: ROBERT TOCCI
Title or Position: DIRECTOR
Credential:
Phone: 610-402-1852