Individual
LORI ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4717 QUEMAZON, LOS ALAMOS, NM 87544-6600
(505) 662-2225
Mailing address
641 43RD ST UNIT A, LOS ALAMOS, NM 87544-1874
(505) 795-0607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3173
NM
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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