| NPI | 1912768425 | 
|---|---|
| Doing Business As | LECOM INSTITUTE FOR SUCCESSFUL LIVING | 
| Entity Type | Organization | 
| Authorized Contact | JAMES Y LIN President 814-602-7783 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease | 
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2024-01-22 | 
| Last Update Date | 2025-07-21 |