Provider Demographics
NPI:1245289867
Name:LAHAV, ERIKA (MD)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:LAHAV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 VALLEY CENTER PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2344
Mailing Address - Country:US
Mailing Address - Phone:484-884-4436
Mailing Address - Fax:484-884-4444
Practice Address - Street 1:2045 WESTGATE DR
Practice Address - Street 2:SUITE 305
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7480
Practice Address - Country:US
Practice Address - Phone:610-867-0832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040108L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20031285OtherAMERIHEALTH HMO
PA01004701OtherCAPITAL BLUE CROSS
PA0794922000OtherPERSONAL CHOICE
PA110216155OtherRAILROAD MEDICARE
PAP2584944OtherOXFORD HEALTH PLAN
PA0010878020006Medicaid
PA0563507OtherAETNA HMO
PA1528621OtherGATEWAY HEALTH PLAN
PA806635OtherHIGHMARK BLUE SHIELD
PAB38880Medicare UPIN
PA138500Medicare ID - Type Unspecified