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Contact Information

CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
16954 CONNEAUT LAKE RD
MEADVILLE, PA16335-3738
 Phone: 814-868-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING

NPI # 1447072731
LBN Legal business name CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
Authorized official JAMES LIN - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/28/2024
Last updated 02/03/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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