Organization
LEHIGH VALLEY ANESTHESIA SERVICES, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA BOTY (BUSINESS MANAGER)
(610) 554-3604
Entity
Organization
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(484) 866-9583
(610) 366-1147
Mailing address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 554-3604
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018815170017
—
PA
01
—
02353700
CAPITAL ADVANTAGE
PA
01
—
1334876
KHP CENTRAL
PA
01
—
1338442
HIGHMARK
PA
01
—
1522740
GATEWAY
PA
01
—
2031873000
INDEP. BLUE CROSS (IBC)
PA
01
—
7748295
AETNA
PA
Enumeration date
09/15/2005
Last updated
01/18/2023
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