National Provider Identifier
Lisa A Erickson, FNP-BC
Lisa A Erickson, FNP-BC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Jamestown, NY and a listed phone number of (716) 483-0113.
Profile Overview
- NPI
- 1649213091
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 14, 2006
- Last Updated
- December 29, 2021
Practice Location
- 15 S Main St
- Suite 151
- Jamestown, NY 14701-6636
Phone: (716) 483-0113
Mailing Address
- 20 W Fairmount Ave
- Lakewood, NY 14750-1702
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1649213091
- Entity Type
- Individual
- Last Name
- Erickson
- First Name
- Lisa
- Middle Name
- A
- Credential
- FNP-BC
- Mailing Street Address
- 20 W Fairmount Ave
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750-1702
- Mailing Country
- US
- Mailing Phone
- (716) 338-0033
- Mailing Fax
- (716) 338-1575
- Practice Street Address
- 15 S Main St
- Practice Address Line 2
- Suite 151
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6636
- Practice Country
- US
- Practice Phone
- (716) 483-0113
- Practice Fax
- (716) 487-2893
- Enumeration Date
- June 14, 2006
- Last Updated
- December 29, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 29, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- J400168875 (NY, Medicare Ptan), 2654231 (NY)