# ALC OF LEHIGH VALLEY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Azani Medical Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609898584
- **Authorized official:** DR. MONICA CECILIA GAVIN MD (CEO/MEDICAL DIRECTOR)
- **Authorized official phone:** (610) 530-0151

## Contact information

- **Practice address:** 3101 EMRICK BLVD, SUITE \#201, BETHLEHEM, PA 18020-8037
- **Practice address phone:** (610) 625-3000
- **Practice address fax:** (610) 625-3003
- **Mailing address:** 3067 JORDAN RD, OREFIELD, PA 18069-2261
- **Mailing address phone:** (610) 625-3000
- **Mailing address fax:** (610) 625-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MD061743L | PA | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 05/29/2010