Individual
DR. LAWRENCE G. ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1175 NININGER RD, HASTINGS, MN 55033-1056
(657) 480-4100
(651) 480-6801
Mailing address
1175 NININGER RD, HASTINGS, MN 55033-1056
(657) 480-4100
(651) 480-6801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21433
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080180767
RAILROAD MEDICARE
MN
01
—
39-42042
MEDICA
MN
05
—
785783700
—
MN
01
—
8D641ER
BLUE CROSS
MN
01
—
984810186002
PREFERRED ONE
MN
01
—
HP16163
HEALTHPARTNERS
MN
Enumeration date
03/17/2006
Last updated
06/30/2016
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