Basic Information
| Provider Information | |||||||||
| NPI: | 1841830403 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LVHN AMBULATORY SURGERY CENTER OF LOPATCONG, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3435 WINCHESTER RD | ||||||||
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| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181042268 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
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| Practice Location | |||||||||
| Address1: | 212 RED SCHOOL LN | ||||||||
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| City: | PHILLIPSBURG | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088652277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848843025 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/13/2020 | ||||||||
| LastUpdateDate: | 02/15/2020 | ||||||||
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| AuthorizedOfficialLastName: | MARCHOZZI | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | SR VP & CFO | ||||||||
| AuthorizedOfficialTelephone: | 4848623943 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.