Individual provider · Type 1 NPI

Liesa Clare Erickson, PA-C

Surgical Physician Assistant · St. Petersburg, FL

NPI number 1154921047 Active

Practice location

603 7th St S
St. Petersburg, FL 33701-4719

Call (727) 893-6254 Map

Fax (727) 553-7158

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XSTUDENT (MN)
Surgical Physician Assistant Primary 363AS0400XPA9115833 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1154921047

Liesa Clare Erickson, PA-C's National Provider Identifier is 1154921047, issued on Oct 29, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 2, 2024.