Dr GUILLERMO ANTONIO DE LA VEGA MD is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1996.
LEHIGH VALLEY PHYSICIAN GROUP
1431 NURSERY ST
202 LVPG OBSTETRICS AND GYNEGOLOGY
FOGELSVILLE
PA
180511612
Tel: 4842734377
| Npi | 1083780761 |
| Pac Id | 5294737037 |
| Professional Enrollment Id | I20070208000134 |
| Last Name | DE LA VEGA |
| First Name | GUILLERMO |
| Middle Name | ANTONIO |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1996 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
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| Organization Legal Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Group Practice Pac Id | 3072425123 |
| Number Of Group Practice Members | 1138 |
| Line 1 Street Address | 1431 NURSERY ST |
| Line 2 Street Address | 202 LVPG OBSTETRICS AND GYNEGOLOGY |
| Marker Of Address Line 2 Suppression | |
| City | FOGELSVILLE |
| State | PA |
| Zip Code | 180511612 |
| Phone Number | 4842734377 |
| Hospital Affiliation Ccn 1 | 390133 |
| Hospital Affiliation Lbn 1 | LEHIGH VALLEY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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