Individual provider · NPI-1

Alex Anderson, M.D.

Family Medicine, Sports Medicine · Lake Charles, LA

NPI number1295155778
StatusActive
Last updated in NPPESJan 31, 2019

Details

NPI
1295155778
Entity type
Individual (NPI-1)
Name
Alex Anderson
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2014
Last updated
Jan 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QS0010X Family Medicine, Sports Medicine208128LAYes

Practice location

1747 Imperial Blvd
Lake Charles, LA 70605-5362

Phone 337-721-7236 · Fax 337-721-7237

Mailing address

1747 Imperial Blvd
Lake Charles, LA 70605-5362

Phone 337-721-7236 · Fax 337-721-7237

Other practice locations

1525 Oak Park Blvd.
Lake Charles, LA 70601

Phone 337-494-6767

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