Basic Information
Provider Information
NPI: 1184074338
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LENIVY
FirstName: CHRISTOPHER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 689
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181051556
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1250 S CEDAR CREST BLVD STE 205
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181036271
CountryCode: US
TelephoneNumber: 6104029116
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/20/2016
LastUpdateDate: 09/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XOT017357PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200XOT017357PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200XOS019192PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XOS019192PAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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