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Organization

LEHIGH VALLEY PHYSICIAN GROUP

Active
Parent organization
LEHIGH VALLEY PHYSICIAN GROUP
Other names
Richard J. Lizak DO
Organization subpart
Yes

Provider details

NPI number
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Authorized official
MICHAEL CALLAHAN (ASSOCIATE EXEC DIRECTOR OF FINANCE)
(610) 798-4500
Entity
Organization

Contact information

Practice address
281 NORTH 12TH STREET, SUITE B, GNADEN HUETTEN PROFESSIONAL BUILDING, LEHIGHTON, PA 18235
(610) 377-7793
Mailing address
1605 N CEDAR CREST BLVD, SUITE 110B, ALLENTOWN, PA 18104-2351

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
04/27/2009
Last updated
10/18/2011
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