OrganizationActive
Clinical Practice of Lecom Institute for Successful Living
NPI 1043071558 · Rural Health Clinic/Center · Erie, PA
Provider details
- NPI number
- 1043071558
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Millcreek Manor
- Organization subpart
- Yes
- Authorized official
- James Lin, President(814) 602-7783
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
9040 Wattsburg Rd
Erie, PA 16509-6024
Phone: (814) 844-2858
Approximate (ZIP-level) locationGet directions
Mailing address
5401 Peach St Ste 3400
Erie, PA 16509-2601
Other names (DBA / former)
- Doing business as
- Rural Health Clinic of Wattsburg
Registry dates
- Enumerated
- 2024-01-22
- Last updated
- 2024-01-22
- Certified
- 2024-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.