Lehigh Valley Physician Group

NPI #1720642259 in Nazareth, Pennsylvania

Provider Information

NPI Number: 1720642259
Entity Type: Organization
Organization Name: Lehigh Valley Physician Group
Subpart: Yes (part of a larger organization)
Parent Organization: LEHIGH VALLEY PHYSICIAN GROUP
Primary Specialty: Internal Medicine
Enumeration Date: Apr 30, 2019
Last Updated: Apr 13, 2020

Practice Location

Address: 534 S MAIN ST
City: Nazareth
State: Pennsylvania
ZIP Code: 18064-2715
Phone: (610) 746-1860

Authorized Official

Name: BREANNA SANTIAGO
Title: PROVIDER ENROLLMENT LIAISON
Phone: (484) 884-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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