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Individual

LLOYD T. ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1021 E BRYAN AVE, SAPULPA, OK 74066-4512
(918) 227-1000
(918) 403-6314
Mailing address
1021 E BRYAN AVE, SAPULPA, OK 74066-4512
(918) 227-1000
(918) 403-6314

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9511
OK
208D00000X
General Practice Physician
Primary
9511
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100105090A
OK
Enumeration date
02/02/2007
Last updated
06/14/2018
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