Clinical Practice of Lecom Institute for Successful Living

NPI #1356102859 in Ashtabula, Ohio

Provider Information

NPI Number: 1356102859
Entity Type: Organization
Organization Name: Clinical Practice of Lecom Institute for Successful Living
Subpart: Yes (part of a larger organization)
Parent Organization: MILLCREEK MANOR
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Jan 22, 2024
Last Updated: Jan 22, 2024

Practice Location

Address: 524 W 24TH ST
City: Ashtabula
State: Ohio
ZIP Code: 44004-3423
Phone: (440) 496-6500

Authorized Official

Name: JAMES Y LIN, DO
Title: PRESIDENT
Phone: (814) 602-7783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Podiatrist	213E00000X
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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