Lake Erie College of Osteopathic Medicine
NPI #1710422670 in Defuniak Springs, Florida
Provider Information
- NPI Number
- 1710422670
- Entity Type
- Organization
- Organization Name
- Lake Erie College of Osteopathic Medicine
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 3, 2017
- Last Updated
- May 24, 2023
Practice Location
- Address
- 101 LECOM WAY
- City
- Defuniak Springs
- State
- Florida
- ZIP Code
- 32435-6323
- Phone
- (850) 951-0200
Authorized Official
- Name
- STEVEN GREGORY INMAN
- Title
- VP FISCAL AFFAIRS/CFO
- Phone
- (814) 868-8258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
| Dentist - General Practice — General Practice |
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