Active NPIIndividual provider

Lee T Erickson

Physician Assistant in Missoula, Montana

NPI Number1437810736
Practice location
500 W Broadway St, Missoula, MT 59802-4008
Fax
406-329-5606
Last updated
April 26, 2022

Lee Thomas Erickson is a Physician Assistant based in Missoula, MT. Lee Thomas Erickson practices in Missoula, MT. The NPI Number for Lee Thomas Erickson is 1437810736 and holds a License No. MED-PAC-LIC-111681 (MT). The current practice location address for Lee Thomas Erickson is 500 W Broadway St, Missoula, MT 59802-4008 and can be reached out via phone at 406-329-5615 and via fax at 406-329-5606.

Provider Profile Details

NPI Number
1437810736
Provider Name
Lee Thomas Erickson
Provider Entity Type
Individual
Gender
Male
Address
500 W Broadway St, Missoula, MT 59802-4008
Phone Number
406-329-5615
Fax Number
406-329-5606
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
January 7, 2022
Last Update Date
April 26, 2022
Certification Date
April 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 W Broadway St
Missoula, MT 59802-4008
State
Montana
Zip
59802-4008
Phone Number
406-329-5615
Fax Number
406-329-5606
Missoula, MT 59802Get directions →

Provider Business Mailing Address Details

Address
Po Box 12
Liberty Lake, WA 99019-0012
City
Liberty Lake
State
WA
Zip
99019-0012
Phone Number
406-329-5615
Fax Number
406-329-5606

License Information

License Number (1)
MED-PAC-LIC-111681
License State (1)
MT
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lee T Erickson?

The NPI number of Lee T Erickson is 1437810736. It was assigned on January 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Lee T Erickson?

Lee T Erickson is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MT under license number MED-PAC-LIC-111681.

Where does Lee T Erickson practice?

The practice location is 500 W Broadway St, Missoula, MT 59802-4008. The office can be reached at 406-329-5615 (phone) or 406-329-5606 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437810736 directly on the NPPES registry website.

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