Provider Demographics
NPI:1902117583
Name:LEHIGH VALLEY MOBILITY
Entity Type:Organization
Organization Name:LEHIGH VALLEY MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:KULP
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:267-329-1220
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:RED HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18076
Mailing Address - Country:US
Mailing Address - Phone:267-329-1220
Mailing Address - Fax:267-329-1239
Practice Address - Street 1:NORTH 2ND STREET
Practice Address - Street 2:
Practice Address - City:GREEN LANE
Practice Address - State:PA
Practice Address - Zip Code:18054
Practice Address - Country:US
Practice Address - Phone:267-329-1220
Practice Address - Fax:267-329-1239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment