| NPI Details | |
|---|---|
| NPI | 1043369481 |
| Enumeration Date | 01/08/2007 |
| Last Updated | 07/09/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | RICHARD A. RICHARD |
| Position | CEO |
| Phone | (814) 456-9962 |
| Fax | (814) 456-0595 |
| Practice Location | |
|---|---|
| 1350 W 26TH ST ERIE PA, 16508-1402, US |
|
| Phone | (814) 456-9962 |
| Fax | (814) 456-0595 |
| Business Location | |
|---|---|
| 1350 W 26TH ST ERIE PA, 16508-1402, US |
|
| Phone | (814) 456-9962 |
| Fax | (814) 456-0595 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251B00000X |
| License State | |
| License Number | |
| Remove 1043369481 NPI Number | |
According to our database, Lakeshore Community Services, Inc. NPI is 1043369481, taxonomy code is 251B00000X Lakeshore Community Services, Inc. physically located at 1350 W 26th St, Erie PA, 16508-1402. NPI Number 1033115704 has the healthcare provider type.
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1043369481 NPI number is provided on an as is basis without warranty of any kind. 1043369481 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshore Community Services, Inc. are for informational purposes only.
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