Provider Demographics
NPI:1982715330
Name:LEHIGH VALLEY UROLOGIC ASSOCIATES PC
Entity type:Organization
Organization Name:LEHIGH VALLEY UROLOGIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEINBOOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-867-4545
Mailing Address - Street 1:2597 SCHOENERSVILLE RD
Mailing Address - Street 2:STE 307
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017
Mailing Address - Country:US
Mailing Address - Phone:610-867-4545
Mailing Address - Fax:610-867-0843
Practice Address - Street 1:2597 SCHOENERSVILLE RD
Practice Address - Street 2:STE 307
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:610-867-4545
Practice Address - Fax:610-867-0843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023618E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B40282Medicare UPIN
051399Medicare ID - Type Unspecified