Provider Demographics
NPI:1588799134
Name:LEHIGH VALLEY FAMILY PRACTICE
Entity Type:Organization
Organization Name:LEHIGH VALLEY FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NARIEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:GROVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-432-4122
Mailing Address - Street 1:1401 FAIRMONT ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-6015
Mailing Address - Country:US
Mailing Address - Phone:610-432-4122
Mailing Address - Fax:610-432-6677
Practice Address - Street 1:1401 FAIRMONT ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-6015
Practice Address - Country:US
Practice Address - Phone:610-432-4122
Practice Address - Fax:610-432-6677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA039072L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100412OtherAMERIHEALTH MERCY
PA990657OtherKEYSTONE CENTRAL
PA02349300OtherCAPITAL BCBS
PA152253OtherHEALTH AMERICA
PA19787OtherAETNA
PA2229598000OtherAMERIHEALTH
PA2229598001OtherKEYSTONE EAST
PALEP001OtherOXFORD
PA620160OtherTUFTS
PA7990657OtherGATEWAY
PA39195OtherGEISINGER
PA=========OtherTIN
PA100412OtherAMERIHEALTH MERCY
PA990657OtherKEYSTONE CENTRAL
PA2229598000OtherAMERIHEALTH
PA39195OtherGEISINGER