Provider Demographics
NPI:1851345813
Name:NORTHERN LEHIGH PRIMARY CARE
Entity Type:Organization
Organization Name:NORTHERN LEHIGH PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-746-2010
Mailing Address - Street 1:1650 VALLEY CENTER PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2344
Mailing Address - Country:US
Mailing Address - Phone:484-884-4436
Mailing Address - Fax:484-884-4444
Practice Address - Street 1:586 MOORESTOWN DR
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:PA
Practice Address - Zip Code:18014-9713
Practice Address - Country:US
Practice Address - Phone:610-746-2010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1633684OtherHIGHMARK BLUE SHIELD
PA2309493001OtherKEYSTONE EAST
PA2309493001OtherAMERIHEALTH HMO
PADC1875OtherRAILROAD MEDICARE
PA3665820OtherAETNA HMO
PA50039229OtherCAPITAL
PA3000354OtherKEYSTONE CENTRAL
PAP3403941OtherOXFORD
PA1633684OtherPERSONAL CHOICE
PA7557625OtherAETNA
PAE1D6OtherGEISINGER
PA3000354OtherKEYSTONE CENTRAL