MEDICARE: LAURIE ERICKSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	24100	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194720375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE ERICKSON MD

Provider Business Mailing Address
First Line	:	1661 E CAMELBACK RD
Second Line	:	SUITE 205
City	:	PHOENIX
State	:	AZ
Zip	:	85016-3911
Country	:	US
Telephone Number	:	602-422-9012
Fax Number	:

Provider Business Practice Location Address
First Line	:	1661 E CAMELBACK RD
Second Line	:	SUITE 160
City	:	PHOENIX
State	:	AZ
Zip	:	85016-3911
Country	:	US
Telephone Number	:	602-241-1671
Fax Number	:	602-265-6258

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	04/10/2013

Similar Medicare Providers

1689679862 — SCOTT JAMES CRAWFORD MD
Practice Location Address:

1661 E CAMELBACK RD , SUITE 160
PHOENIX, AZ
85016-3911

Practice Phone: 602-241-1671
Practice Fax: 602-265-6258

1750386934 — MICHAEL ANTHONY URIG MD
Practice Location Address:

1661 E CAMELBACK RD , SUITE 160
PHOENIX, AZ
85016-3911

Practice Phone: 602-241-1671
Practice Fax: 602-274-6181

1336144526 — STACI MAYER MD
Practice Location Address:

1661 E CAMELBACK RD , SUITE 160
PHOENIX, AZ
85016-3911

Practice Phone: 602-241-1671
Practice Fax: 602-274-6181

1821093667 — BROCK JACKSON MD
Practice Location Address:

1661 E CAMELBACK RD , SUITE 160
PHOENIX, AZ
85016-3911

Practice Phone: 602-241-1671
Practice Fax: 602-274-6181

1740271733 — LIFE CARE AT HOME OF ARIZONA, INC.
Practice Location Address:

1661 E CAMELBACK RD , SUITE 255
PHOENIX, AZ
85016-3911

Practice Phone: 480-991-3303
Practice Fax: 480-922-4944

1356321962 — BARBARA ANNE LEDNICKY MD
Practice Location Address:

1661 E CAMELBACK RD , SUITE 170
PHOENIX, AZ
85016-3911

Practice Phone: 602-263-9550
Practice Fax: 602-263-1150

Directions to “ LAURIE ERICKSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.