Individual
DR. LYLE F ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 SPRINT DR STE 3, CARLISLE, PA 17015-7002
(717) 713-2100
(717) 713-2101
Mailing address
409 SOUTH FRONT STREET, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD021012E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001033169
—
PA
Enumeration date
01/30/2006
Last updated
01/27/2021
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