Dr AMANDA C BLACK is a female medical professional, specializing in Physician Assistant. She graduated in 2017.
LEHIGH VALLEY PHYSICIAN GROUP
5649 WYNNEWOOD DR
LAURYS STATION
PA
180591124
Tel:
| Npi | 1821504341 |
| Pac Id | 6204195068 |
| Professional Enrollment Id | I20180124001325 |
| Last Name | BLACK |
| First Name | AMANDA |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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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 | 5649 WYNNEWOOD DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | LAURYS STATION |
| State | PA |
| Zip Code | 180591124 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 390133 |
| Hospital Affiliation Lbn 1 | LEHIGH VALLEY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Ccn 5 | |
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| Professional Accepts Medicare Assignment | Y |
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