Organization
LAKE ERIE MEDICAL GROUP PC
Active
Organization
LAKE ERIE MEDICAL GROUP PC
Active
Other names
Niagara Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA L HATT (SENIOR ENROLLMENT SPECIALIST)
(814) 452-5772
Entity
Organization
Contact information
Practice address
2501 W 12TH ST STE C10, ERIE, PA 16505-4527
(814) 580-5600
(814) 455-2584
Mailing address
2501 W 12TH ST STE C10, ERIE, PA 16505-4527
(814) 580-5600
(814) 455-2584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
10/11/2011
Last updated
12/15/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up