Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Medical Toxicology
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LEWIS (EXEC. DIRECTOR)
(484) 526-3571
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 525-7576
(484) 526-6674
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 525-7576
(484) 526-6674
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033902
MEDICARE (QUAKERTOWN)
PA
01
—
034134
MEDICARE
PA
Enumeration date
12/11/2017
Last updated
03/17/2018
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