| NPI | 1679252118 |
|---|---|
| Other Name | CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING |
| Entity Type | Organization |
| Authorized Contact | OLIVIA J TOPEL CFO 814-881-5234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2086S0129X Surgery, Vascular Surgery | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-10-04 |