Healthcare Provider Details

I. General information

NPI: 1437888757
Provider Name (Legal Business Name): LEHIGH VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 EAST BLAKESLEE BOULEVARD DRIVE LEHIGHTON PA 18235
LEHIGHTON PA
18235
US

IV. Provider business mailing address

2226 EAST BLAKESLEE BOULEVARD DRIVE LEHIGHTON PA 18235
LEHIGHTON PA
18235
US

V. Phone/Fax

Practice location:
  • Phone: 484-224-9577
  • Fax: 484-224-9809
Mailing address:
  • Phone: 484-224-9577
  • Fax: 484-224-9809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN MOLITORIS
Title or Position: VP
Credential:
Phone: 484-884-0974