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Individual

DR. BRADLEY LIEF ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DR, DEPARTMENT OF PSYCHIATRY, LEBANON, NH 03756-1000
(603) 650-5508
Mailing address
PO BOX 1918, GRANTHAM, NH 03753-1918
(603) 863-2528

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
52282
WI
2084P0800X
Psychiatry Physician
Primary
RT1492
NH

Other

Enumeration date
08/29/2006
Last updated
12/23/2011
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