Individual
DR. LLOYD THEODORE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 BECKER AVE SW, WILLMAR, MN 56201-3234
(320) 235-4622
(320) 235-7083
Mailing address
620 BECKER AVE SW, WILLMAR, MN 56201-3234
(320) 235-4622
(320) 235-7083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9281
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45019AN
BLUE CROSS BLUE SHIELD
MN
05
—
810520100
—
MN
Enumeration date
03/29/2006
Last updated
03/31/2025
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