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Organization

LEIF ERICKSON, OD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT LEIF ERICKSON O.D. (OPTOMETRIST)
(802) 775-0862
Entity
Organization

Contact information

Practice address
44 WASHINGTON ST, RUTLAND, VT 05701-5031
(802) 775-0862
(802) 747-7714
Mailing address
44 WASHINGTON ST, RUTLAND, VT 05701-5031
(802) 775-0862
(802) 747-7714

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0300000275
VT

Other

Enumeration date
07/10/2006
Last updated
03/25/2009
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