Organization
LECOM AT PRESQUE ISLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA J TOPEL (CFO)
(814) 881-5234
Entity
Organization
Contact information
Practice address
4114 SCHAPER AVE, ERIE, PA 16508-3350
(814) 868-0831
(814) 868-3566
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 868-2496
(814) 868-2481
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030723650001
—
PA
Enumeration date
08/23/2021
Last updated
08/23/2021
Update your record
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