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Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LEWIS (EXECUTIVE DIRECTOR)
(484) 526-4981
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6643
(484) 526-4658
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6643
(484) 526-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730750176
—
PA
Enumeration date
07/07/2006
Last updated
03/17/2018
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