# DR. MARISSA LEA ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043539836
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 262804 | MA | — |
| 208C00000X | Colon & Rectal Surgery Physician | 036.161754 | IL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | 83360 | GA | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | BP10038035 | TX | — |

## Other

- **Enumeration date:** 05/19/2010
- **Last updated:** 02/20/2023