# ERIKA B LAUDERDALE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871002154
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 11321 | GA | Yes |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/29/2017
- **Last updated:** 02/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 935973 | MEDICARE MS | MS |
| 05 | — | PENDING | — | MS |
| 05 | — | Q034221 | — | TN |
| 01 | — | T11874A | MEDICARE TN | TN |