LECOM AT PRESQUE ISLE INC NPI 1972270569

NPI Information

NPI: 1972270569
Provider Name: LECOM AT PRESQUE ISLE INC
Classification: Technician, Other - 2472R0900X
Entity Type: Organization

Specialization: Renal Dialysis

Address:
4114 SCHAPER AVE
ERIE, PA
ZIP 16508
Phone: (814) 868-0831
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LECOM AT PRESQUE ISLE INC is a renal dialysis technician other in Erie, PA. LECOM AT PRESQUE ISLE INC NPI is 1972270569. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4114 SCHAPER AVE
ERIE, PA
ZIP 16508-350
Phone: (814) 868-0831
Fax: (814) 868-3566

The provider's authorized official is Olivia J Topel .
The authorized official title is Cfo and has the following contact phone number (814) 881-5234.

The enumeration date for this NPI number is 8/23/2021 and was last updated on 8/23/2021.

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
1	2472R0900X	Technician, Other	Renal Dialysis			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1030723650001	MEDICAID	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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