| Presque Isle Family Medicine | |
|
2556 W 12th St Erie PA 16505-4508 | |
| (814) 836-9209 | |
| Not Available |
| Full Name | Presque Isle Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2556 W 12th St, Erie, Pennsylvania |
| Authorized Official Name and Position | David C Lesseski (MEDICAL DOCTOR) |
| Authorized Official Contact | 8148369209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presque Isle Family Medicine 2556 W 12th St Erie PA 16505-4508 Ph: (814) 836-9209 | Presque Isle Family Medicine 2556 W 12th St Erie PA 16505-4508 Ph: (814) 836-9209 |
| NPI Number | 1679628408 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679628408 | NPI | - | NPPES |
| 0800122783 | Other | PA | PALMETTO GBA |
| 0012476390006 | Medicaid | PA | |
| 645037 | Other | PA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS007417L (Pennsylvania) | Primary |
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