Individual
LYNN ANNETTE ERICKSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0709
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0709
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2714
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6404867
MEDICA
—
01
—
880S4ER
BCBS MINNESOTA
—
01
—
HP18522
HEALTHPARTNERS
—
Enumeration date
05/03/2006
Last updated
07/08/2007
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