# LISA M ANDERSON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578163796
- **Authorized official:** DAWN LAWLER (OFF MGR)
- **Authorized official phone:** (800) 735-8951

## Contact information

- **Practice address:** 25 MARKET ST STE 14, SWANSEA, MA 02777-3998
- **Practice address phone:** (774) 327-0060
- **Mailing address:** 25 MARKET ST STE 14, SWANSEA, MA 02777-3998
- **Mailing address phone:** (774) 327-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2020
- **Last updated:** 10/27/2020