Individual
LISA N ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 MAIN ST, 1ST FLOOR, SPRINGFIELD, MA 01199-1619
(413) 794-3726
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237944
MA
2083X0100X
Occupational Medicine Physician
044230
CT
2083X0100X
Occupational Medicine Physician
Primary
237944
MA
Other
Enumeration date
12/05/2006
Last updated
04/30/2015
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