| Organization Name: | ST. LUKE'S PHYSICIAN GROUP, INC. |
| NPI Number: | 1669617601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEAN W. EVANS (PRESIDENT) |
| Mailing Address: | 240 Cetronia Rd Suite 205n Allentown |
| State: | PA US |
| Postal Code: | 181049263 |
| Phone Number: | 4844262600 |
| Fax Number: | 6103364379 |
| NPI Enumeration Date: | 12/04/2008 |
| NPI Last Update Date: | 08/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |