Provider Demographics
NPI:1669684148
Name:LUNN, ERICA (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:LUNN
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:PLANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:42 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-1926
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:169 S RIVER RD
Practice Address - Street 2:UNIT 9
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6971
Practice Address - Country:US
Practice Address - Phone:603-296-5241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1789225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics