Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinical Practice of Lecom Institute for Successful Living

Organization Family Medicine Physician · NPI 1043071558

Clinical Practice of Lecom Institute for Successful Living is a Family Medicine Physician in Erie, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

9040 Wattsburg Rd
Erie, PA 16509-6024
Phone: (814) 844-2858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1043071558
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMillcreek Manor
Authorized official James Lin — President · (814) 602-7783
Other names Rural Health Clinic Of Wattsburg
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing address5401 Peach St Ste 3400, Erie, PA 16509-2601

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