Leif Erickson, Od, LLC

NPI #1477587939 in Rutland, Vermont

Provider Information

NPI Number: 1477587939
Entity Type: Organization
Organization Name: Leif Erickson, Od, LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 10, 2006
Last Updated: Mar 25, 2009

Practice Location

Address: 44 WASHINGTON ST
City: Rutland
State: Vermont
ZIP Code: 05701-5031
Phone: (802) 775-0862

Authorized Official

Name: DR. ROBERT LEIF ERICKSON, O.D.
Title: OPTOMETRIST
Phone: (802) 775-0862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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