Individual
DR. LARA M. ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
134 N OAK ST, TRENTON, IL 62293-1780
(618) 224-7129
(618) 224-2798
Mailing address
134 N OAK ST, TRENTON, IL 62293-1780
(618) 224-7129
(618) 224-2798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023978
IL
Other
Enumeration date
09/22/2006
Last updated
12/18/2014
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