Provider Demographics
NPI:1104370592
Name:LORICK, ERIKA
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:LORICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 STONECREEK DR
Mailing Address - Street 2:APT. E
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-1665
Mailing Address - Country:US
Mailing Address - Phone:810-394-8466
Mailing Address - Fax:
Practice Address - Street 1:1005 STONECREEK DR
Practice Address - Street 2:APT. E
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-1665
Practice Address - Country:US
Practice Address - Phone:810-394-8466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other