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Contact Information

ALEX ANDERSON, MD
1747 IMPERIAL BLVD
LAKE CHARLES, LA70605-5362
 Phone: 337-721-7236
 Fax: 337-721-7237
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALEX ANDERSON · (Male)

NPI # 1295155778
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2014
Last updated 01/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 208128
Hospital affiliation(s)
  • CHRISTUS ST PATRICK HOSPITAL - (Acute Care)
    524 DR MICHAEL DEBAKEY STREET
    LAKE CHARLES, LA 70601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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