Basic Information
Provider Information
NPI: 1245289867
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAHAV
FirstName: ERIKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1650 VALLEY CENTER PKWY
Address2: SUITE 100
City: BETHLEHEM
State: PA
PostalCode: 180172344
CountryCode: US
TelephoneNumber: 4848844436
FaxNumber: 4848844444
Practice Location
Address1: 2045 WESTGATE DR
Address2: SUITE 305
City: BETHLEHEM
State: PA
PostalCode: 180177480
CountryCode: US
TelephoneNumber: 6108670832
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/09/2006
LastUpdateDate: 04/21/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD040108LPAY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
2003128501PAAMERIHEALTH HMOOTHER
0100470101PACAPITAL BLUE CROSSOTHER
079492200001PAPERSONAL CHOICEOTHER
11021615501PARAILROAD MEDICAREOTHER
P258494401PAOXFORD HEALTH PLANOTHER
001087802000605PA MEDICAID
056350701PAAETNA HMOOTHER
152862101PAGATEWAY HEALTH PLANOTHER
80663501PAHIGHMARK BLUE SHIELDOTHER


Home