Organization
PEDIATRIC NEUROLOGY OF LEHIGH VALLEY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON BICKERT (OFFICE MANAGER)
(484) 201-1126
Entity
Organization
Contact information
Practice address
1517 POND RD, 2ND FLOOR, ALLENTOWN, PA 18104-2253
(484) 201-1126
Mailing address
1517 POND RD, 2ND FLOOR, ALLENTOWN, PA 18104-2253
(484) 201-1126
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD431769
PA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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