Individual
ANDERSON LOUIS JEUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7866 SPRINGFIELD LAKE DR, LAKE WORTH, FL 33467-7895
(561) 729-3698
Mailing address
7866 SPRINGFIELD LAKE DR, LAKE WORTH, FL 33467-7895
(561) 729-3698
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
PBCVH3503
FL
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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