Individual
DR. LYLE RICHARD ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
201 LAKE ST NW, SUITE G,, WARROAD, MN 56763-2116
(218) 386-1930
(218) 386-1921
Mailing address
PO BOX 930, WARROAD, MN 56763-0930
(218) 386-1930
(218) 386-1921
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3705
MN
Other
Enumeration date
06/23/2005
Last updated
10/30/2017
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