| Clinical Practice Of Lecom Institute For Successful Living | |
|
5401 Peach St Ste 3400 Erie PA 16509-2601 | |
| (814) 868-2200 | |
| Not Available |
| Full Name | Clinical Practice Of Lecom Institute For Successful Living |
|---|---|
| Speciality | Internal Medicine |
| Location | 5401 Peach St Ste 3400, Erie, Pennsylvania |
| Authorized Official Name and Position | Olivia J Topel (CFO) |
| Authorized Official Contact | 8148815234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Practice Of Lecom Institute For Successful Living 5535 Peach St Erie PA 16509-2603 Ph: (814) 881-5234 | Clinical Practice Of Lecom Institute For Successful Living 5401 Peach St Ste 3400 Erie PA 16509-2601 Ph: (814) 868-2200 |
| NPI Number | 1679252118 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 10/04/2023 |
| Medicare PECOS PAC ID | 1456424084 |
|---|---|
| Medicare Enrollment ID | O20231102002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679252118 | NPI | - | NPPES |
| Provider Name | James Yi Lin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164599155 PECOS PAC ID: 3779584867 Enrollment ID: I20070116000059 |
| Provider Name | Matthew C. Becker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598932550 PECOS PAC ID: 9032266747 Enrollment ID: I20101008000462 |
| Provider Name | Anthony D Colonna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811337603 PECOS PAC ID: 9335459437 Enrollment ID: I20160722001005 |
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