Individual
LORI ANNE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3255
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-74930-032
KS
363LP0200X
Pediatric Nurse Practitioner
Primary
2006019137
MO
Other
Enumeration date
06/23/2009
Last updated
06/13/2011
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