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Organization
LEHIGH VALLEY PHYSICIAN GROUP
Active
Organization
LEHIGH VALLEY PHYSICIAN GROUP
Active
Parent organization
LEHIGH VALLEY PHYSICIAN GROUP
Other names
LVPG-CRNP-PCP
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Authorized official
MICHAEL CALLAHAN (ASSOC EX DIR OF FINANCE)
(610) 798-4500
Entity
Organization
Contact information
Practice address
2268 S 12TH ST, ALLENTOWN, PA 18103-5650
(610) 798-4500
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
PA
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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