NPI 1255474466 · live from the CMS NPI Registry
Myra Louise Anderson, M.D.
Family Medicine, Adult Medicine in Luling, LA. National Provider Identifier 1255474466, active.
NPI record
| NPI | 1255474466 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Adult Medicine 207QA0505X |
| Practice location | 879 Milling Ave, Luling, LA 70070 |
| Practice phone | 985-785-2979 |
| Mailing address | 40189 Pelican Point Pkwy., Gonzales, LA 70737 |
| Enumerated | February 15, 2007 |
| Last updated | July 9, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine primary | 207QA0505X | MD.06513R (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.