Provider Demographics
NPI:1801014535
Name:ERICKSON, LINDSAY J (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:J
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:ERICKSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3625 E THOUSAND OAKS BLVD
Mailing Address - Street 2:172
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3626
Mailing Address - Country:US
Mailing Address - Phone:805-494-1339
Mailing Address - Fax:805-494-0411
Practice Address - Street 1:3625 E THOUSAND OAKS BLVD
Practice Address - Street 2:172
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3626
Practice Address - Country:US
Practice Address - Phone:805-494-1339
Practice Address - Fax:805-494-0411
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor