| Organization Name: | LVPG VASCULAR HEALTH SERVICES |
| NPI Number: | 1568536324 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT KNOX (ASSOC EXECUTIVE DRIECTOR FINANCE) |
| Mailing Address: | 1627 W Chew St #403 Allentown |
| State: | PA US |
| Postal Code: | 181023648 |
| Phone Number: | 6109694727 |
| Fax Number: | 6109694078 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 10/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |