National Provider Identifier Database

CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
Rural Health


Contact Information

CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
9040 WATTSBURG RD
ERIE, PA16509-6024
Phone: 814-844-2858
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X
Internal Medicine 207R00000X

* Indicates primary specialty

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

NPI Number 1043071558
Legal business name
LBN
CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
Authorized official JAMES LIN - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 01/22/2024
Last updated 01/22/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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