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

Clinical Practice of Lecom Institute for Successful Living

Organization Family Medicine Physician · NPI 1447072731

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

In the registry since
2024
Specialties on file
6
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Practice location Address checks out

16954 Conneaut Lake Rd
Meadville, PA 16335-3738
Phone: (814) 868-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Interventional Cardiology Physician Taxonomy 207RI0011X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1447072731
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMillcreek Manor
Authorized official James Lin — President · (814) 602-7783
Other names Lecom Institute For Successful Living At Meadville; Lecom Institute For Successful Living At Meadville
NPI enumeratedOctober 28, 2024
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address5535 Peach St, Erie, PA 16509-2603

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