| NPI | 1780219022 |
|---|---|
| Doing Business As | LECOM HEALTH SPECIALISTS - SLC |
| Entity Type | Organization |
| Authorized Contact | MARCUS CHASE BABIAK COO 814-868-7733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2025-07-31 |