| NPI | 1851287288 |
|---|---|
| Doing Business As | LECOM HEALTH WEST GRANDVIEW PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JEAN NEJMAN Credentialing Specialist 814-868-2507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-07-14 |