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

Lake Erie College of Osteopathic Medicine

Organization Family Medicine Physician · NPI 1467087296

Lake Erie College of Osteopathic Medicine is a Family Medicine Physician in Englewood, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2828 S McCall Rd Ste 21
Englewood, FL 34224-9517
Phone: (941) 474-8154
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1467087296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatiana Robles — Credentialing Cooridator · (239) 348-5080
Other names Lecom - Englewood Family Practice
NPI enumeratedMarch 12, 2020
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020
Mailing address2828 S McCall Rd Ste 21, Englewood, FL 34224-9517

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