Individual
LALA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
959 GOLF COURSE DR # 151, ROHNERT PARK, CA 94928-1891
(707) 952-5267
Mailing address
959 GOLF COURSE DR # 151, ROHNERT PARK, CA 94928-1891
(707) 952-5267
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95032415
CA
Other
Enumeration date
03/01/2025
Last updated
03/03/2025
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