| Lake Erie College Of Osteopathic Medicine | |
|
2000 W Grandview Blvd Erie PA 16509-1029 | |
| (814) 868-1001 | |
| Not Available |
| Full Name | Lake Erie College Of Osteopathic Medicine |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2000 W Grandview Blvd, Erie, Pennsylvania |
| Authorized Official Name and Position | Steven Gregory Inman (VP FISCAL AFFAIRS/CFO) |
| Authorized Official Contact | 8148688258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Erie College Of Osteopathic Medicine 1858 W Grandview Blvd Erie PA 16509-1025 Ph: () - | Lake Erie College Of Osteopathic Medicine 2000 W Grandview Blvd Erie PA 16509-1029 Ph: (814) 868-1001 |
| NPI Number | 1518352939 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518352939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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