Individual
LEXIS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14333 HIGHWAY 13 S, SAVAGE, MN 55378-2153
(952) 226-1442
(952) 226-1442
Mailing address
14333 HIGHWAY 13 S, SAVAGE, MN 55378-2153
(952) 226-1442
(952) 226-1442
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
729482
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
729482
BOARD OF PHARMACY REGISTRATION NUMBER
MN
Enumeration date
01/29/2015
Last updated
01/29/2015
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