Individual
ERICA LAUREN FORMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1790 E MARKET ST STE 64B, HARRISONBURG, VA 22801-5197
(540) 564-5666
(844) 501-7984
Mailing address
1790 E MARKET ST STE 64B, HARRISONBURG, VA 22801-5197
(540) 564-5666
(844) 501-7984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101264179
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
10/10/2024
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