Lisa M Ericksen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601001522 Issued in MI

Practice address

29200 Schoolcraft Rd
Livonia, MI 48150-2228

Phone

(734) 523-2420

Fax

(734) 523-2464

NPI assigned

Oct 11, 2006

Last updated

Mar 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: lericksen13120@direct.hfhs.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1366530354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WAVERLEY AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671339",
            "telephone_number": "124-822-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29200 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502228",
            "telephone_number": "734-523-2420",
            "fax_number": "734-523-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601001522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lericks1@hfhs.org",
            "affiliation": "N",
            "address_1": "29200 Schoolcraft Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481502228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lericks1@hfhs.org",
            "affiliation": "N",
            "address_1": "29200 Schoolcraft Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481502228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Epmg of Michigan, P.C.
• Trayce Renee Epps, O.D.
• Lola Erfourth
• Adam R Erhardt
• Eric S Sanders
• Martin Erickson, D.O.
• Joseph Kazim Ermete, DC
• Ashley Erwin, MD
• Angela Esguerra-Jasin
• Fadi Esho

• Medical Physician Assistant in Livonia, MI
• Providers in Livonia, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.