Provider Demographics
NPI:1013375492
Name:LEHIGH VALLEY HOSPITAL
Entity Type:Organization
Organization Name:LEHIGH VALLEY HOSPITAL
Other - Org Name:HEALTH SPECTRUM PHARMACY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TOCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-969-2780
Mailing Address - Street 1:1247 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6298
Mailing Address - Country:US
Mailing Address - Phone:610-402-1852
Mailing Address - Fax:610-402-1802
Practice Address - Street 1:1637 CHEW ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3648
Practice Address - Country:US
Practice Address - Phone:610-969-2780
Practice Address - Fax:610-969-2784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X
PAPP415123L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2158283OtherPK
6656640001Medicare NSC
PA6656640001Medicare NSC