# ALLEGHENY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Erie Obstetrics & Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538594197
- **Authorized official:** CECILI R JONES (ANALYST)
- **Authorized official phone:** (412) 330-4813

## Contact information

- **Practice address:** 2501 W 12TH ST, SUITE 10, ERIE, PA 16505-4527
- **Practice address phone:** (814) 314-0072
- **Practice address fax:** (814) 314-0323
- **Mailing address:** 2501 W 12TH ST, SUITE 10, ERIE, PA 16505-4527
- **Mailing address phone:** (814) 314-0072
- **Mailing address fax:** (814) 314-0323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2013
- **Last updated:** 04/08/2014