# DR. LOREN ERICKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003885617
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 113462 | MN | — |
| 213E00000X | Podiatrist | 444 | MN | — |
| 213E00000X | Podiatrist | 759 | MO | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | 444 | MN | — |
| 213ES0000X | Sports Medicine Podiatrist | 444 | MN | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 444 | MN | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 759 | MO | — |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 11/14/2011