Individual
DR. IVY DE LACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1255 S CEDAR CREST BLVD STE 3500, ALLENTOWN, PA 18103
(610) 969-0100
(610) 969-0101
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
OS017172
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173544
RTL
NC
Enumeration date
02/07/2013
Last updated
08/08/2018
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