# LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LECOM Dental Office at MCH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497448724
- **Authorized official:** STEVEN GREGORY INMAN (VP FISCAL AFFAIRS/CFO)
- **Authorized official phone:** (814) 868-8258

## Contact information

- **Practice address:** 5515 PEACH ST, ERIE, PA 16509-2603
- **Practice address phone:** (814) 868-8258
- **Mailing address:** 2000 W GRANDVIEW BLVD, ERIE, PA 16509-1029
- **Mailing address phone:** (814) 868-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2023
- **Last updated:** 06/01/2023