Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's Baby and Me Support Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CHIAVAROLI (SUPERVISOR ENROLLMENTS)
(484) 526-3569
Entity
Organization
Contact information
Practice address
1425 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-2229
(833) 816-5611
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2229
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
01/05/2018
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