Dr. Russell Lee Anderson, M.D.
Family Medicine in Covington, LA. Individual provider (NPI-1).
NPI number1760538037
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1760538037
- Entity type
- Individual (NPI-1)
- Name
- Dr. Russell Lee Anderson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | R042107 | LA | Yes |
Practice location
78270 Highway 1081Covington, LA 70435-4646
Phone 985-867-5680
Mailing address
78270 Highway 1081Covington, LA 70435-4646
Phone 985-867-5680
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