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 Internal Medicine Physician · NPI 1912768425

Clinical Practice of Lecom Institute for Successful Living is an Internal Medicine Physician in Erie, Pennsylvania. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
7
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Practice location Address checks out

5401 Peach St Ste 3400
Erie, PA 16509-2601
Phone: (814) 868-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16954 Conneaut Lake Rd, Meadville, PA 16335-3738 — (814) 844-2858

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Vascular Surgery Physician Taxonomy 2086S0129X
Podiatrist Taxonomy 213E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1912768425
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMillcreek Manor
Authorized official James Lin — President · (814) 602-7783
Other names Lecom Institute For Successful Living
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address5401 Peach St Ste 3400, Erie, PA 16509-2601

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