Individual
LLOYD DANE ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1332 W ARCH HAVEN AVE STE C, BLOOMINGTON, IN 47403-2078
(812) 333-7447
(812) 333-7442
Mailing address
1332 W ARCH HAVEN AVE STE C, BLOOMINGTON, IN 47403-2078
(812) 333-7447
(812) 333-7442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003108A
IN
Other
Enumeration date
07/22/2019
Last updated
07/24/2019
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