Individual provider · Type 1 NPI

Loren Erickson

Foot & Ankle Surgery Podiatrist · St. Paul, MN

NPI number 1003885617 Active

Practice location

1600 University Ave W, Suite 19-C
St. Paul, MN 55104-3898

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X444 (MN)
Podiatrist 213E00000X759 (MO)
Primary Podiatric Medicine Podiatrist 213EP1101X444 (MN)
Sports Medicine Podiatrist 213ES0000X444 (MN)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X444 (MN)
Foot & Ankle Surgery Podiatrist 213ES0103X759 (MO)
Pharmacist 183500000X113462 (MN)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1003885617

Loren Erickson's National Provider Identifier is 1003885617, issued on Mar 16, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Paul, MN. The record was last updated on Nov 14, 2011.