Individual
DR. LISA MARTIN ERIKSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1100 HINESBURG RD, SUITE 201, SOUTH BURLINGTON, VT 05403-7613
(802) 862-1808
Mailing address
1100 HINESBURG RD, SUITE 201, SOUTH BURLINGTON, VT 05403-7613
(802) 862-1808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0300000262
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2568
—
VT
01
—
P00138234
RAIL ROAD MEDICARE
VT
Enumeration date
05/05/2006
Last updated
06/21/2016
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