Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
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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