Individual
LAURA E ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1193 FORT CAMPBELL BLVD. STE A, CLARKSVILLE, TN 37042
(693) 155-7302
Mailing address
1193 FORT CAMPBELL BLVD. STE A, CLARKSVILLE, TN 37042
(693) 155-7302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5338
TN
363A00000X
Physician Assistant
Primary
9992
MN
Other
Enumeration date
07/06/2006
Last updated
02/20/2024
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