LEE THOMAS ERICKSON

MISSOULA, MT
NPI1437810736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MT  MED-PAC-LIC-111681)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-01-07
Last Update Date2022-04-26
Business Address
LEE THOMAS ERICKSON
500 W BROADWAY ST
MISSOULA, MT 59802-4008
Phone number: 406-329-5615
Mailing Address
LEE THOMAS ERICKSON
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-329-5615