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NPI Profile for MYRA L ANDERSON in LULING, LA.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1255474466 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 02/15/2007 | |
| Last updated | 07/09/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MYRA L ANDERSON
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MYRA L ANDERSON, MD