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Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Parent organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Other names
St. Luke's Lifestyle Medicine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official
SUE CHIAVAROLI (ENROLLMENT SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
2200 ST LUKES BLVD STE 100, EASTON, PA 18045-5665
(484) 526-2103
(484) 526-2100
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-8046
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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