Individual
MR. ANSON LAMAR ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
167 STATE ST, MADISON, WV 25130-1139
(304) 369-1123
(304) 369-9001
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
886
WV
Other
Enumeration date
04/12/2012
Last updated
03/24/2021
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