Dr. Ivy De Lacruz
Family Doctor - Hospice and Palliative Medicine
1255 S Cedar Crest Blvd Ste 3500
Allentown
, Pennsylvania 18103
Dr. Ivy De Lacruz
Family Doctor - Hospice and Palliative Medicine
1255 S Cedar Crest Blvd Ste 3500
Allentown
, Pennsylvania 18103
(484) 884-0699
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Ivy De Lacruz
- Po Box 783311
- Philadelphia, PA
- Zip : 19178-3311
- Fax : (484) 884-0699
- Phone : (484) 884-4500
Second Address
- Dr. Ivy De Lacruz
- 1255 S Cedar Crest Blvd Ste 3500
- Allentown, PA
- Zip : 18103
- Fax : (610) 969-0101
- Phone : (610) 969-0100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS017172 | PA |
National Provider Identifier
| NPI | 1568701753 |
|---|---|
| Provider Name | Dr. Ivy De Lacruz |
| First Address | Philadelphia, PA 19178-3311 |
| Second Address | Allentown, PA 18103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2013 |
| Last Update Date | 08/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 173544 | RTL (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.