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 Geriatric Medicine (Internal Medicine) Physician · NPI 1356102859

Clinical Practice of Lecom Institute for Successful Living is a Geriatric Medicine (Internal Medicine) Physician in Ashtabula, Ohio. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

524 W 24th St
Ashtabula, OH 44004-3423
Phone: (440) 496-6500
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
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1356102859
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMillcreek Manor
Authorized official James Lin — President · (814) 602-7783
Other names Rural Health Clinic Of Ashtabula
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing address5401 Peach St Ste 3400, Erie, PA 16509-2601