NPI 1295155778 · live from the CMS NPI Registry
Alex Anderson, M.D.
Family Medicine, Sports Medicine in Lake Charles, LA. National Provider Identifier 1295155778, active.
NPI record
| NPI | 1295155778 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Sports Medicine 207QS0010X |
| Practice location | 1747 Imperial Blvd, Lake Charles, LA 70605 |
| Practice phone | 337-721-7236 |
| Enumerated | April 23, 2014 |
| Last updated | January 31, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Sports Medicine primary | 207QS0010X | 208128 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.