Provider Demographics
NPI:1356414528
Name:ERLANDSON LRD PLLC, BARBARA (LRD CDE)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:ERLANDSON LRD PLLC
Suffix:
Gender:F
Credentials:LRD CDE
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:H
Other - Last Name:ERLANDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LRD CDE
Mailing Address - Street 1:7890 HWY 1
Mailing Address - Street 2:
Mailing Address - City:OAKES
Mailing Address - State:ND
Mailing Address - Zip Code:58474
Mailing Address - Country:US
Mailing Address - Phone:701-742-3340
Mailing Address - Fax:
Practice Address - Street 1:7890 HWY 1
Practice Address - Street 2:
Practice Address - City:OAKES
Practice Address - State:ND
Practice Address - Zip Code:58474
Practice Address - Country:US
Practice Address - Phone:701-742-3340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND37133V00000X
IL09620144174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND18278Medicare ID - Type Unspecified
18278Medicare UPIN