# MEDICAL ASSOCIATES OF ERIE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Lake Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417247123
- **Authorized official:** MR. DENNIS M STYN (PRESIDENT/CEO)
- **Authorized official phone:** (814) 868-2504

## Contact information

- **Practice address:** 3435 W LAKE RD, ERIE, PA 16505-3661
- **Practice address phone:** (814) 835-6633
- **Practice address fax:** (814) 835-6637
- **Mailing address:** 1 LECOM PL, ERIE, PA 16505-2571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2011
- **Last updated:** 04/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101066458 | — | PA |