Provider Demographics
NPI:1992261382
Name:LEHIGH VALLEY HOSPITAL
Entity type:Organization
Organization Name:LEHIGH VALLEY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLITORIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-884-0974
Mailing Address - Street 1:2024 LEHIGH ST STE 600
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-4938
Mailing Address - Country:US
Mailing Address - Phone:610-402-2748
Mailing Address - Fax:610-402-5228
Practice Address - Street 1:2024 LEHIGH ST STE 600
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-4938
Practice Address - Country:US
Practice Address - Phone:610-402-2748
Practice Address - Fax:610-402-5228
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEHIGH VALLEY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-11
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy