Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lee Thomas Erickson

Individual provider Physician Assistant · NPI 1437810736

Lee Thomas Erickson is a Physician Assistant in Missoula, Montana. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
4
Licensed in
MT
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

500 W Broadway St
Missoula, MT 59802-4008
Phone: (406) 329-5615
Fax: (406) 329-5606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 89 Lebanon St Unit 2, Hanover, NH 03755-2509 — (303) 518-2733

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-111681 (MT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1437810736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 7, 2022
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Missoula