Organization
LEHIGH VALLEY INTERNAL MEDICINE, PC
Active
Organization
LEHIGH VALLEY INTERNAL MEDICINE, PC
Active
Other names
Candio Kovacs & Lakata, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN CASTAGNA (PRACTICE MANAGER)
(610) 402-1051
Entity
Organization
Contact information
Practice address
1230 S CEDAR CREST BLVD, SUITE 201, ALLENTOWN, PA 18103-6212
(610) 402-1051
(610) 402-1059
Mailing address
1230 S CEDAR CREST BLVD, SUITE 201, ALLENTOWN, PA 18103-6212
(610) 402-1051
(610) 402-1059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD019390E
PA
207R00000X
Internal Medicine Physician
MD024168E
PA
207R00000X
Internal Medicine Physician
OS008475L
PA
207R00000X
Internal Medicine Physician
OS008862L
PA
207R00000X
Internal Medicine Physician
Primary
OS010005L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02343700
CAPITAL BLUE CROSS
PA
01
—
0376057001
KEYSTONE EAST/AMERIHEALTH
PA
01
—
904833
BLUE SHIELD
PA
Enumeration date
05/20/2006
Last updated
08/22/2020
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