Lake Erie College of Osteopathic Medicine

NPI #1912258872 in Bradenton, Florida

Provider Information

NPI Number: 1912258872
Entity Type: Organization
Organization Name: Lake Erie College of Osteopathic Medicine
Subpart: Yes (part of a larger organization)
Parent Organization: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 1, 2012
Last Updated: May 24, 2023

Practice Location

Address: 4800 LAKEWOOD RANCH BLVD
City: Bradenton
State: Florida
ZIP Code: 34211-4953
Phone: (941) 405-1507

Authorized Official

Name: STEVEN GREGORY INMAN
Title: VP FISCAL AFFAIRS/CFO
Phone: (814) 868-8258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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