Individual
LISA NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 FOREST LN STE C614, DALLAS, TX 75230-6856
(972) 566-7499
(972) 566-6428
Mailing address
7777 FOREST LN STE C614, DALLAS, TX 75230-6856
(972) 566-7499
(972) 566-6428
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
35.149055
OH
2086X0206X
Surgical Oncology Physician
Primary
V2686
TX
390200000X
Student in an Organized Health Care Education/Training Program
664589
TX
Other
Enumeration date
06/28/2017
Last updated
02/19/2025
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