Basic Information
| Provider Information | |||||||||
| NPI: | 1780630079 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ERIKA LAHAV MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1650 VALLEY CENTRAL PARKWAY | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18017 | ||||||||
| 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 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | LAHAV | ||||||||
| AuthorizedOfficialFirstName: | ERIKA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6108670832 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 02352300 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 02352300 | 01 | PA | NCAS | OTHER | 0794922000 | 01 | PA | PERSONAL CHOICE | OTHER | 806635 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 563507 | 01 | PA | AETNA | OTHER |