Organization
ST. LUKE'S HOSPITAL
Active
Organization
ST. LUKE'S HOSPITAL
Active
Other names
ST. LUKE'S SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LICHTENWALNER (ASST VICE PRESIDENT)
(610) 954-4991
Entity
Organization
Contact information
Practice address
153 BRODHEAD RD, BETHLEHEM, PA 18017-8931
(610) 954-4780
(610) 954-3216
Mailing address
623 E BROAD ST, BETHLEHEM, PA 18018-6332
(610) 954-6048
(610) 954-3189
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
09/11/2025
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