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NPI Code Detail

MEDICARE: LEHIGH VALLEY RESPIRATORY CARE LANCASTER INC

MEDICARE: LEHIGH VALLEY RESPIRATORY CARE LANCASTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)8000001125PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710983978
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEHIGH VALLEY RESPIRATORY CARE LANCASTER INC
Provider Business Mailing Address
First Line : 555 E NORTH LN STE 5075
Second Line :
City : CONSHOHOCKEN
State : PA
Zip : 19428-2490
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1176 ENTERPRISE CT
Second Line :
City : EAST PETERSBURG
State : PA
Zip : 17520
Country : US
Telephone Number : 717-569-4667
Fax Number : 717-560-4316
Authorized Official
Title or Position : CCO
Name : WENDY RUSSALESI
Credential :
Telephone Number : 484-246-9499
Provider Enumeration Date : 06/22/2005
Last Update Date : 10/14/2025

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Directions to “LEHIGH VALLEY RESPIRATORY CARE LANCASTER INC ” Practice Location

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