Individual
MS. LAURIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
800 1/2 PROSPECT BLVD, PASADENA, CA 91103-3206
(626) 441-6098
Mailing address
800 1/2 PROSPECT BLVD, PASADENA, CA 91103-3206
(626) 441-6098
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
PA13069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA13069
—
CA
Enumeration date
09/16/2006
Last updated
03/17/2018
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