| Organization Name: | ALC OF LEHIGH VALLEY INC |
| NPI Number: | 1609898584 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONICA CECILIA GAVIN (CEO/MEDICAL DIRECTOR) |
| Mailing Address: | 3101 Emrick Blvd Suite #201 Bethlehem |
| State: | PA US |
| Postal Code: | 180208037 |
| Phone Number: | 6106253000 |
| Fax Number: | 6106253003 |
| NPI Enumeration Date: | 07/23/2006 |
| NPI Last Update Date: | 05/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD061743L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |