Individual
LANE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ACNS-BC
Contact information
Practice address
4001 W 15TH ST, SUITE 290, PLANO, TX 75093-5841
(469) 443-0925
(469) 443-0933
Mailing address
6400 LAKESHORE DR, DALLAS, TX 75214-3737
(512) 529-9676
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
775751
TX
Other
Enumeration date
09/23/2011
Last updated
04/29/2014
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