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General NPI Number Information
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NPI Number | 1134594427
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Entity Type | Organization
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Legal Business Name | LEHIGH VALLEY HEALTH NETWORK
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 12/11/2015
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Provider Practice Location Address
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Address Line | 1200 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-6202
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Country | US
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Telephone | 610-402-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2802 W FAIRMONT ST
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City | ALLENTOWN
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State | PA
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Zip | 18104-2715
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR CLINICAL OPERATIONS
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Name | LUANNE PROCYK
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Credential | MSN, CNRN, RN
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Telephone | 610-402-1923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | PA
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