Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Clinical Practice of Lecom Institute for Successful Living

Organization Family Medicine Physician · NPI 1447072731

Clinical Practice of Lecom Institute for Successful Living provides Family Medicine Physician services in Meadville, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6
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Practice location Address checks out

16954 Conneaut Lake Rd
Meadville, PA 16335-3738
Phone: (814) 868-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Interventional Cardiology Physician Taxonomy 207RI0011X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1447072731
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMillcreek Manor
Authorized official James Lin — President · (814) 602-7783
Other names Lecom Institute For Successful Living At Meadville; Lecom Institute For Successful Living At Meadville
NPI enumeratedOctober 28, 2024
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address5535 Peach St, Erie, PA 16509-2603

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