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Individual
LOY L ANDERSON
Active
Individual
LOY L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10436
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152854
—
MT
Enumeration date
05/04/2006
Last updated
08/05/2011
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