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Organization
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Active
Organization
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GREGORY INMAN (VP FISCAL AFFAIRS/CFO)
(814) 868-8258
Entity
Organization
Contact information
Practice address
101 LECOM WAY, DEFUNIAK SPRINGS, FL 32435-6323
(850) 951-0200
Mailing address
1858 W GRANDVIEW BLVD, ERIE, PA 16509-1025
(814) 868-7767
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
FL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
05/24/2023
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