Individual
MISS MYRA LOUISE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
879 MILLING AVE, LULING, LA 70070-4442
(985) 785-2979
(985) 785-5051
Mailing address
40189 PELICAN POINT PKWY., GONZALES, LA 70737-8501
(504) 491-3124
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD.06513R
LA
Other
Enumeration date
02/15/2007
Last updated
07/09/2007
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