Individual
DR. MICHAEL LEWIS ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024685
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302024685
PHARMACIST
MI
Enumeration date
08/21/2007
Last updated
03/30/2016
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