Individual
DR. ROBERT LEIF ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
44 WASHINGTON ST, RUTLAND, VT 05701-5031
(802) 775-0862
(802) 747-7714
Mailing address
PO BOX 311, WESTON, VT 05161-0311
(802) 824-3695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000275
VT
Other
Enumeration date
06/06/2006
Last updated
11/19/2007
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