LECOM MTM SERVICES NPI 1760736870

NPI Information

  • NPI: 1760736870
  • Provider Name: LECOM MTM SERVICES
  • Classification: Clinic/Center - 261QR1100X
  • Specialization: Research
  • Entity Type: Organization
  • Other Name: LECOM SCHOOL OF PHARMACY
  • Address: 1858 W GRANDVIEW BLVD
    ATTN.REBECCA WISE-BAYFRONT CAMPUS
    ERIE, PA
    ZIP 16509
  • Phone: (814) 868-2584

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NPI Details

LECOM MTM SERVICES is a research clinic center in Erie, PA. LECOM MTM SERVICES NPI is 1760736870. The provider is registered as an organization entity type.
The provider Other Name Is Lecom School Of Pharmacy.

The provider's business location address is:

1858 W GRANDVIEW BLVD
ATTN.REBECCA WISE-BAYFRONT CAMPUS
ERIE, PA
ZIP 16509-025
Phone: (814) 868-2584
Fax: (814) 868-2589

The provider's authorized official is Justin Scholl .
The authorized official title is Manager and has the following contact phone number (814) 860-8430.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 10/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1100XClinic/CenterResearchYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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