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Organization
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Active
Organization
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Active
Parent organization
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Other names
LECOM School of Dental Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Authorized official
STEVEN GREGORY INMAN (VP FISCAL AFFAIRS/CFO)
(814) 868-8258
Entity
Organization
Contact information
Practice address
4800 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4953
(941) 405-1507
(941) 405-1675
Mailing address
4800 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4953
(941) 405-1507
(941) 405-1675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
05/24/2023
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