Most Relevant Information
Provider Data
| NPI Number: | 1003197104 |
| Provider Name: | ERICA NICOLE HICKS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 2-062689 |
Most Important Dates
| Enumeration Date: | 09/01/2011 |
| Last Updated: | 09/01/2011 |
Provider Practice Location
LYSTER ARMY HEALTH CLINIC
BULIDING 301 ANDREWS AVE
FT RUCKER
AL
363625333
Practice Location Phone/Fax
| Phone: | 3342557000 |
| Fax: |
Provider Mailing Location
LYSTER ARMY HEALTH CLINIC
BULIDING 301 ANDREWS AVE
FT RUCKER
AL
363625333
Provider Mailing Phone/Fax
| Phone: | 3342557000 |
| Fax: |