Individual
LINDA KELLEE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 STALLION LN, LINO LAKES, MN 55014-7014
(763) 516-1481
Mailing address
3810 RUM RIVER DR, ANOKA, MN 55303-1103
(763) 392-0172
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
03/08/2021
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