Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 67565 | CT |
N | 207V00000X | Obstetrician & Gynecologist | 7652A | WY |
N | 207VX0000X | Obstetrician | 67565 | CT |
NPI | 1003021064 |
---|---|
Provider Name | Dr. Janet Lynn Anderson-Ray |
First Address | Cheyenne, WY 82001-8102 |
Second Address | Middlebury, CT 06762-2846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2007 |
Last Update Date | 09/07/2021 |