Lawrence L Anderson MD PA
Dermatology, Dermatopathology in Tyler, TX. Organization (NPI-2).
NPI number1013175751
StatusActive
Last updated in NPPESMay 29, 2008
Details
- NPI
- 1013175751
- Entity type
- Organization (NPI-2)
- Legal business name
- Lawrence L Anderson MD PA
- Organization subpart
- Yes
- Enumeration date
- May 29, 2008
- Last updated
- May 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | – | – | Yes |
Other names
- Derm Path Lab (Doing Business As)
Practice location
1367 Dominion PlzTyler, TX 75703-1013
Phone 903-534-6200 · Fax 903-939-0755
Mailing address
1367 Dominion PlzTyler, TX 75703-1013
Phone 903-534-6200 · Fax 903-939-0755
Authorized official
Andrea Lynne Stein
Practice Administrator
9035346200
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