Individual
LISA L. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 W 59TH ST, SUITE 9B, NEW YORK, NY 10019-8022
(212) 523-7752
(212) 523-7731
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
162448-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00994289
—
NY
Enumeration date
04/10/2006
Last updated
05/16/2017
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