Individual
ERICA LANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20 RIM RD, ARROYO SECO, NM 87514
(575) 779-0268
Mailing address
PO BOX 3692, TAOS, NM 87571-3692
(575) 779-0268
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5914
NM
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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