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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