Provider Demographics
NPI:1154901346
Name:LAPRADE, ERICA LEIGH
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:LEIGH
Last Name:LAPRADE
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 1:16 N 11TH AVE APT K
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3067
Mailing Address - Country:US
Mailing Address - Phone:774-415-4035
Mailing Address - Fax:
Practice Address - Street 1:16 N 11TH AVE APT K
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3067
Practice Address - Country:US
Practice Address - Phone:774-415-4035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator