Individual
LANCE MATTHEW ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7615 WASHINGTON AVE S, EDINA, MN 55439-2417
(952) 300-7177
Mailing address
7615 WASHINGTON AVE S, EDINA, MN 55439-2417
(952) 300-7177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6698
MN
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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