# LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILLCREEK HEALTH SYSTEM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518352939
- **Legal business name:** MILLCREEK HEALTH SYSTEM
- **Authorized official:** STEVEN GREGORY INMAN (VP FISCAL AFFAIRS/CFO)
- **Authorized official phone:** (814) 868-8258

## Contact information

- **Practice address:** 2000 W GRANDVIEW BLVD, ERIE, PA 16509-1029
- **Practice address phone:** (814) 868-1001
- **Mailing address:** 1858 W GRANDVIEW BLVD, ERIE, PA 16509-1025

## Taxonomy

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

## Other

- **Enumeration date:** 04/02/2015
- **Last updated:** 05/24/2023