Individual
ERICA LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E 103RD ST, NEW YORK, NY 10029-5604
(646) 234-2689
Mailing address
1487 TELLER AVE APT 4G, BRONX, NY 10457-8925
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
000000000
NY
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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