Erickson, Lisa A

Erickson, Lisa A is an individual health care provider with primary practice located at 15 S Main St Suite 151, Jamestown NY 14701-6636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Erickson, Lisa A can be contacted via phone (716) 483-0113.

Contact Information

Primary practice address
15 S Main St Suite 151 Jamestown NY 14701-6636
Phone: (716) 483-0113
Fax: (716) 487-2893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332351 New York

Profile Details

NPI number 1649213091
LBN Legal business name Erickson, Lisa A
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649213091 NPPES
New York Other J400168875 MEDICARE PTAN
New York MEDICAID 2654231 MEDICARE PTAN

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