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General NPI Number Information
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NPI Number | 1558671818
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Entity Type | Organization
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Legal Business Name | LEHIGH VALLEY PHYSICIAN GROUP
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 1259 S CEDAR CREST BLVD SUITE 230
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City | ALLENTOWN
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State | PA
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Zip | 18103-6372
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Country | US
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Telephone | 484-884-4500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1754
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City | ALLENTOWN
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State | PA
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Zip | 18105-1754
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Country | US
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Telephone | 484-884-4500
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE EX DIRECTOR OF FINANCE
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Name | JOHN BERZINSKY
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Credential |
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Telephone | 484-884-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State | PA
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