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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 Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

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

NPI Number 1043071558
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 01/22/2024
Last updated 01/22/2024 - About 2 years 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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