Organization
LEHIGH VALLEY PHYSICIAN GROUP
Active
Parent organization
LEHIGH VALLEY PHYSICIAN GROUP
Other names
LVHN Keystone Prosthetics & Orthotics
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Authorized official
JAMES DEMOPOULOS (SR VP & COO)
(484) 862-3333
Entity
Organization
Contact information
Practice address
334 MAIN ST STE 220, DICKSON CITY, PA 18519-1668
(570) 307-4191
(570) 307-4195
Mailing address
334 MAIN ST STE 220, DICKSON CITY, PA 18519-1668
(570) 307-4191
(570) 307-4195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/12/2022
Last updated
05/08/2024
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