| Lecom Institute For Successful Aging | |
|
5401 Peach St Ste 3600 Erie PA 16509-2601 | |
| (814) 868-7850 | |
| (814) 868-2115 |
| Full Name | Lecom Institute For Successful Aging |
|---|---|
| Speciality | Family Medicine |
| Location | 5401 Peach St Ste 3600, Erie, Pennsylvania |
| Authorized Official Name and Position | Shelly Steinbeck (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8148682535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lecom Institute For Successful Aging 1 Lecom Pl Erie PA 16505-2571 Ph: (814) 868-2535 | Lecom Institute For Successful Aging 5401 Peach St Ste 3600 Erie PA 16509-2601 Ph: (814) 868-7850 |
| NPI Number | 1740610450 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740610450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Dennis M Scully, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3822 Schaper Ave, Erie, PA 16508 Phone: 814-868-0943 Fax: 814-866-1160 | |
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