Individual provider · Type 1 NPI
Myra Louise Anderson, MD
Adult Medicine Physician · Luling, LA
NPI number
1255474466
Active
Practice location
879 Milling Ave
Luling, LA 70070-4442
Fax (985) 785-5051
Mailing address
40189 Pelican Point Pkwy.
Gonzales, LA 70737-8501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | MD.06513R (LA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1255474466
Myra Louise Anderson, MD's National Provider Identifier is 1255474466, issued on Feb 15, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Luling, LA. The record was last updated on Jul 9, 2007.