Individual
DR. LORI L. ANDERSON
Active
Individual
DR. LORI L. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036-065423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
748450
MEDICARE PROVIDER NUMBER
IL
Enumeration date
10/21/2005
Last updated
04/03/2013
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