Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 28924 | MN |
NPI | 1548219611 |
---|---|
Provider Name | Lisa Erickson |
First Address | Minneapolis, MN 55407-1544 |
Second Address | Minneapolis, MN 55407-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 10/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1012114 | PREFERRED ONE (01) | MN |
64G44ER | BLUE CROSS (01) | MN |
7400041 MPLS | MEDICA (01) | MN |
87446 | AMERICAS PIO (01) | MN |
HP20734 | HEALTH PARTNERS (01) | MN |