Individual
LYNN A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2424 E 21ST ST STE 340, TULSA, OK 74114-1722
(918) 728-3100
(918) 728-3376
Mailing address
2424 E 21ST ST STE 340, TULSA, OK 74114-1722
(918) 743-4046
(918) 728-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18895
OK
207NP0225X
Pediatric Dermatology Physician
18895
OK
207NS0135X
Procedural Dermatology Physician
18895
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015382
RAILROAD MEDICARE - PALMETTO GBA
—
Enumeration date
05/04/2006
Last updated
09/17/2025
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