LISA M ERICKSEN

LIVONIA, MI
NPI1366530354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001522)
Enumeration Date2006-10-11
Last Update Date2021-03-19
Business Address
LISA M ERICKSEN PA-C
29200 SCHOOLCRAFT RD
LIVONIA, MI 48150-2228
Phone number: 734-523-2420
Mailing Address
LISA M ERICKSEN PA-C
318 WAVERLEY AVE
ROYAL OAK, MI 48067-1339
Phone number: 124-822-9149