Organization
LEHIGH VALLEY ANESTHESIA SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA A BOTY (PRACTICE MANAGER)
(610) 554-3604
Entity
Organization
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 554-3604
Mailing address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 554-3604
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD057251L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018815170
—
PA
01
—
02353700
CAPITAL ADVANTAGE
PA
01
—
1334876
HIGHMARK
PA
01
—
1522740
GATEWAY
PA
01
—
2028161000
IBC
PA
01
—
204757
HEALTH AMERICA
PA
01
—
222730
FIRST HEALTH PRIORITY
PA
01
—
30000056
KEYSTONE MERCY
PA
Enumeration date
03/05/2008
Last updated
01/18/2023
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