Organization
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, INC.
Active
Other names
LECOM Dental Office at MCH
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
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-8258
Mailing address
2000 W GRANDVIEW BLVD, ERIE, PA 16509-1029
(814) 868-1030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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