person
Lisa M Ericksen, PA-C
Medical Physician Assistant in Livonia, Michigan
NPI 1366530354

Lisa M Ericksen is a Medical Physician Assistant based in Royal Oak, MI and is specialized in Medical. Lisa M Ericksen practices in Livonia, MI and has the professional credentials of PA-C. The NPI Number for Lisa M Ericksen is 1366530354 and holds a License No. 5601001522 (Michigan).

The current practice location address for Lisa M Ericksen is 29200 Schoolcraft Rd, Livonia, MI and can be reached out via phone at 734-523-2420 and via fax at 734-523-2464.

Location: 29200 Schoolcraft Rd, Livonia, MI, 48067-1339
person
Provider Profile Details
NPI Number
1366530354
Provider Name
Lisa M Ericksen
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
29200 Schoolcraft Rd, Livonia, MI, 48067-1339
Phone Number
734-523-2420
Fax Number
734-523-2464
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
29200 Schoolcraft Rd
City
State
Zip
48150-2228
Phone Number
734-523-2420
Fax Number
734-523-2464
person
Provider Business Mailing Address Details
Address
29200 Schoolcraft Rd
City
State
Zip
48150-2228
Phone Number
734-523-2420
Fax Number
734-523-2464
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601001522 (Michigan)
Definition
Definition to come...
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