Individual provider · NPI-1

Dr. Larry Simon Anderson, M.D.

Radiology, Diagnostic Radiology · Lynnwood, WA

NPI number1215924774
StatusActive
Last updated in NPPESFeb 4, 2015

Details

NPI
1215924774
Entity type
Individual (NPI-1)
Name
Dr. Larry Simon Anderson
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 30, 2005
Last updated
Feb 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyMD00010119WAYes

Practice location

19020 33rd Ave W
Suite 210
Lynnwood, WA 98036-4746

Phone 425-563-1500 · Fax 425-563-1374

Mailing address

19020 33rd Ave W
Suite 210
Lynnwood, WA 98036-4746

Phone 425-563-1500 · Fax 425-563-1374

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Radiology, Diagnostic Radiology providers in Lynnwood, WA