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 Podiatrist · NPI 1689489718

Clinical Practice of Lecom Institute for Successful Living is a Podiatrist in Meadville, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

16954 Conneaut Lake Rd
Meadville, PA 16335-3738
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
Podiatrist Taxonomy 213E00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1689489718
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMillcreek Manor
Authorized official James Lin — President · (814) 602-7783
Other names Rural Health Clinic Of Meadville
NPI enumeratedFebruary 7, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address5535 Peach St, Erie, PA 16509-2603

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