| 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 | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 213E00000X Podiatrist | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |