Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
Gayllyn Faust-Rakos, DO
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(610) 954-4991
Entity
Organization
Contact information
Practice address
322 S 17TH ST, ALLENTOWN, PA 18104-6709
(484) 223-3796
Mailing address
322 S 17TH ST, ALLENTOWN, PA 18104-6709
(484) 223-3796
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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