Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2021
NPI: 1982271946
Practice Locations (1)
CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
5401 PEACH ST, SUITE 3400
ERIE, PA 165092601
8148682200
Source: CMS National Downloadable File, September 2026.