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Contact Information

CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
16954 CONNEAUT LAKE RD
MEADVILLE, PA16335-3738
 Phone: 814-844-2858
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

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

NPI Number 1689489718
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 02/07/2025
Last updated 10/13/2025 - About 8 months 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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