Provider Demographics
NPI:1457776650
Name:LEHIGH VALLEY HOSPITAL
Entity Type:Organization
Organization Name:LEHIGH VALLEY HOSPITAL
Other - Org Name:LEHIGH VALLEY MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:LENICH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-402-1855
Mailing Address - Street 1:250 CETRONIA RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9147
Mailing Address - Country:US
Mailing Address - Phone:610-674-4902
Mailing Address - Fax:610-674-4905
Practice Address - Street 1:250 CETRONIA RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9147
Practice Address - Country:US
Practice Address - Phone:610-674-4902
Practice Address - Fax:610-674-4905
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEHIGH VALLEY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies