Healthcare Provider Details

I. General information

NPI: 1922434364
Provider Name (Legal Business Name): ERIN LEE-HARRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MAINE ST
LAWRENCE KS
66044-1368
US

IV. Provider business mailing address

200 MAINE ST
LAWRENCE KS
66044-1368
US

V. Phone/Fax

Practice location:
  • Phone: 785-830-1706
  • Fax:
Mailing address:
  • Phone: 785-830-1706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number301384
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: