Organization
LEHIGH VALLEY WEIGHT LOSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES NAKOA JR. (BILLING MANAGER)
(610) 419-9192
Entity
Organization
Contact information
Practice address
2200 HAMILTON ST STE 111, ALLENTOWN, PA 18104-6329
(610) 821-8321
(610) 232-7952
Mailing address
26 CREEK CT, EASTON, PA 18040-7646
(610) 821-8321
(610) 232-7952
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
03/04/2017
Last updated
11/24/2017
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