Individual
LAURA ANN ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
521 W THOMAS RD FL 2, PHOENIX, AZ 85013-4241
(602) 254-0390
(888) 846-8757
Mailing address
15436 N CENTRAL AVE, PHOENIX, AZ 85022
(602) 995-0234
(602) 995-0234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3022
LICENSE
AZ
Enumeration date
10/24/2006
Last updated
12/23/2019
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