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

Lake Erie Medical Group PC

Organization Family Medicine Physician · NPI 1053696997

Lake Erie Medical Group PC is a Family Medicine Physician in Erie, Pennsylvania. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2501 W 12th St Ste C10
Erie, PA 16505-4527
Phone: (814) 580-5600
Fax: (814) 455-2584
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1053696997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Hatt — Senior Enrollment Specialist · (814) 452-5772
Other names Niagara Internal Medicine
NPI enumeratedOctober 11, 2011
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address2501 W 12th St Ste C10, Erie, PA 16505-4527

Other providers in Erie