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Organization
LEHIGH VALLEY FAMILY PRACTICE ASSOCIATES, LLP
Active
Organization
LEHIGH VALLEY FAMILY PRACTICE ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC D KANE DO (GENERAL PARTNER)
(610) 694-9090
Entity
Organization
Contact information
Practice address
190 BRODHEAD RD, SUITE 101, BETHLEHEM, PA 18017-8617
(610) 694-9090
(610) 861-8295
Mailing address
190 BRODHEAD RD, SUITE 101, BETHLEHEM, PA 18017-8617
(610) 694-9090
(610) 861-8295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
363LP2300X
Primary Care Nurse Practitioner
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000166196
HIGHMARK BLUE SHIELD
PA
05
—
001716003001
—
PA
01
—
0166196
KEYSTONE CENTRAL
PA
01
—
02350700
CAPITAL BLUE CROSS
PA
01
—
092995
AETNA
PA
01
—
166196
INTERCOUNTY
PA
01
—
CN1759
RAILROAD MEDICARE
PA
01
—
E1BX
VALLEY PREFERRED GEISINGE
PA
Enumeration date
05/20/2006
Last updated
11/29/2010
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