Lance R Eriksen in Waterbury - Dermatology

Lance R Eriksen - NPI 1891898821

Lance R Eriksen is a Dermatology in Waterbury, Connecticut. Lance R Eriksen practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Lance R Eriksen is 1891898821. The last update date is 2023-03-07.

Lance R Eriksen's current location address is 171 Grandview Ave, Waterbury, Connecticut. You can contact this provider via phone number 2037578919 and fax number 2037564697. The mailing address for Lance R Eriksen is 171 Grandview Ave, Waterbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Lance R Eriksen
Address 171 Grandview Ave, Waterbury, Connecticut
Phone Number 2037578919
Fax Number 2037564697
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891898821
Provider Enumeration Date 2006-09-06
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 171 Grandview Ave
City Waterbury
State Connecticut (CT)
Post Code 67082517
Phone Number 2037578919
Fax Number 2037564697

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 17909
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70000092 CT MEDICARE PROVIDER #
1179092 CT --
13935 STATE CONTROLED SUB

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FAQs about Lance R Eriksen

What is the Lance R Eriksen's 1891898821?

The Lance R Eriksen's NPI (National Provider Identifier) Number is 1891898821. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lance R Eriksen is physically located?

The Lance R Eriksen is physically situated at the following address: 171 Grandview Ave, Waterbury, CT, 67082517.

What is the Lance R Eriksen's specialty and taxonomy code?

The Lance R Eriksen's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.

When did Lance R Eriksen receive its 1891898821 assignment?

The Lance R Eriksen was assigned its 1891898821 on 2006-09-06, which is the date when this unique identifier was issued to the organization.

When was the information regarding Lance R Eriksen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lance R Eriksen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.

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