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

Lake Erie College of Osteopathic Medicine

Organization Family Medicine Physician · NPI 1467087296

Lake Erie College of Osteopathic Medicine provides Family Medicine Physician services 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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