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Individual
ERICKA BLAKE LIAS
Active
Individual
ERICKA BLAKE LIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MA058931
PA
363A00000X
Physician Assistant
Primary
PA8071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363A00000X
—
PA
Enumeration date
12/06/2017
Last updated
01/27/2026
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