Healthcare Provider Details

I. General information

NPI: 1720189244
Provider Name (Legal Business Name): LAKE ERIE WOMENS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 HOLLAND ST
ERIE PA
16507
US

IV. Provider business mailing address

215 HOLLAND ST
ERIE PA
16507
US

V. Phone/Fax

Practice location:
  • Phone: 814-453-5058
  • Fax: 814-452-4174
Mailing address:
  • Phone: 814-453-5058
  • Fax: 814-452-4174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER G LEVINSON
Title or Position: MD OWNER
Credential: MD
Phone: 814-873-3926