Provider Demographics
NPI:1780630079
Name:ERIKA LAHAV MD
Entity Type:Organization
Organization Name:ERIKA LAHAV MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHAV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-867-0832
Mailing Address - Street 1:1650 VALLEY CENTRAL PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017
Mailing Address - Country:US
Mailing Address - Phone:484-884-4436
Mailing Address - Fax:484-884-4444
Practice Address - Street 1:2045 WESTGATE DR
Practice Address - Street 2:SUITE 305
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7480
Practice Address - Country:US
Practice Address - Phone:610-867-0832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02352300OtherCAPITAL BLUE CROSS
PA02352300OtherNCAS
PA0794922000OtherPERSONAL CHOICE
PA806635OtherHIGHMARK BLUE SHIELD
PA563507OtherAETNA
PA806635OtherHIGHMARK BLUE SHIELD