NPI 1043863780

Lloyd Dane Ericson, DC

Practitioner Chiropractor Bloomington, IN

Practice location

Address: 1332 W Arch Haven Ave STE C, Bloomington, IN 47403-2078
Phone: (812) 333-7447
Fax: (812) 333-7442

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 08003108A (IN)

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Registry record

NPI: 1043863780
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2019
Record last updated: 24 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.