Lisa M Ericksen is a Medical in Livonia, Michigan. Lisa M Ericksen practices all healthcare services and medical treatments related to Medical. The NPI Number for Lisa M Ericksen is 1366530354. The last update date is 2021-03-19.
Lisa M Ericksen's current location address is 29200 Schoolcraft Rd, Livonia, Michigan. You can contact this provider via phone number 7345232420 and fax number 7345232464. The mailing address for Lisa M Ericksen is 29200 Schoolcraft Rd, Livonia, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Ericksen |
|---|---|
| Address | 29200 Schoolcraft Rd, Livonia, Michigan |
| Phone Number | 7345232420 |
| Fax Number | 7345232464 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366530354 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2021-03-19 |
Provider Mailing Address Detail
| Address | 29200 Schoolcraft Rd |
|---|---|
| City | Livonia |
| State | Michigan (MI) |
| Post Code | 481502228 |
| Phone Number | 7345232420 |
| Fax Number | 7345232464 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601001522 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Lisa M Ericksen by the Centers for Medicare & Medicaid Services?
The Lisa M Ericksen has been assigned the NPI (National Provider Identifier) 1366530354 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lisa M Ericksen?
The Lisa M Ericksen is situated at 29200 Schoolcraft Rd, in the city of Livonia, state of MI, with the zip code 481502228.
What is Lisa M Ericksen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa M Ericksen is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366530354 to Lisa M Ericksen?
The Centers for Medicare & Medicaid Services originally issued the 1366530354 to Lisa M Ericksen on 2006-10-11.
As of what date were the Lisa M Ericksen's details last updated?
The information pertaining to the Lisa M Ericksen, including its address, specialty, and other details, was most recently updated on 2021-03-19.
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