Organization
DEFEO AND LILLY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM THOMAS DEFEO DPM (PRESIDENT)
(610) 821-0444
Entity
Organization
Contact information
Practice address
3131 COLLEGE HEIGHTS BLVD, SUITE 1500, ALLENTOWN, PA 18104-4877
(610) 821-0444
(610) 820-7006
Mailing address
3131 COLLEGE HEIGHTS BLVD, SUITE 1500, ALLENTOWN, PA 18104-4877
(610) 821-0444
(610) 820-7006
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001701L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041080000
INDEPENDENCE BLUE CROSS
—
01
—
01188301
CAPITAL BLUE CROSS
—
01
—
013746
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/01/2006
Last updated
01/09/2014
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