Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD.206744 | LA |
NPI | 1073785945 |
---|---|
Provider Name | Dr. Lauren Constance Anderson |
First Address | Natchitoches, LA 71457-2475 |
Second Address | Natchitoches, LA 71457-6020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2008 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD.206744 | STATE OF LOUISIANA (01) | LA |