Individual
DR. LISA L. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 ST. CLAIRE PLACE, SUITE 150, STEVENSVILLE, MD 21666
(410) 643-3795
(410) 643-3797
Mailing address
200 ST. CLAIRE PLACE, SUITE 150, STEVENSVILLE, MD 21666
(410) 643-3795
(410) 643-3797
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0065976
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023155000
—
MD
05
—
1045993
—
LA
Enumeration date
08/01/2006
Last updated
02/28/2017
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