Provider Demographics
NPI:1144864893
Name:TOMPKINS, ERICA
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:TOMPKINS
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 1:116 RESERVE DR APT 721
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5711
Mailing Address - Country:US
Mailing Address - Phone:949-350-2084
Mailing Address - Fax:
Practice Address - Street 1:116 RESERVE DR APT 721
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-5711
Practice Address - Country:US
Practice Address - Phone:949-350-2084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator