NPI 1891898821 · live from the CMS NPI Registry
Lance R Eriksen, MD
Dermatology in Waterbury, CT. National Provider Identifier 1891898821, active.
NPI record
| NPI | 1891898821 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 171 Grandview Ave, Suite 103, Waterbury, CT 06708 |
| Practice phone | 203-757-8919 |
| Enumerated | September 6, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 017909 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.