Individual
DR. MATHEW C ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302-A BUSHLEY STREET, ERICKSON FAMILY MEDICINE, HARRISONBURG, LA 71340-0302
(318) 744-5504
(318) 744-5505
Mailing address
PO BOX 2780, JENA, LA 71342-2780
(318) 992-9200
(318) 992-9280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.201826
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09216
—
LA
05
—
1078085
—
LA
Enumeration date
05/23/2007
Last updated
09/13/2019
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