Individual
DR. LEE E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
F3023
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125761004
—
TX
01
—
390001614
RR MEDICARE
TX
01
—
87C962
BLUE CROSS
TX
Enumeration date
08/16/2005
Last updated
08/04/2014
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