Provider Demographics
NPI:1104379858
Name:LEHIGH ANESTHESIA LLC
Entity Type:Organization
Organization Name:LEHIGH ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAIXUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-419-0200
Mailing Address - Street 1:475 PROSPECT AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4197
Mailing Address - Country:US
Mailing Address - Phone:973-419-0200
Mailing Address - Fax:973-419-0244
Practice Address - Street 1:475 PROSPECT AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-4197
Practice Address - Country:US
Practice Address - Phone:973-419-0200
Practice Address - Fax:973-419-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty