| Lake Erie College Of Osteopathic Medicine, Inc. | |
|
5515 Peach St Erie PA 16509-2603 | |
| (814) 868-8258 | |
| Not Available |
| Full Name | Lake Erie College Of Osteopathic Medicine, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5515 Peach St, 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, Inc. 2000 W Grandview Blvd Erie PA 16509-1029 Ph: (814) 868-1030 | Lake Erie College Of Osteopathic Medicine, Inc. 5515 Peach St Erie PA 16509-2603 Ph: (814) 868-8258 |
| NPI Number | 1497448724 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497448724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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