Individual provider · Type 1 NPI
Lydell Anderson, MD
General Practice Physician · Fairfield, CA
NPI number
1467831214
Active
Practice location
5055 Business Center Dr Ste 108, Suite 108 Pmb 224
Fairfield, CA 94534-1668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G64999 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1467831214
Lydell Anderson, MD's National Provider Identifier is 1467831214, issued on May 27, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fairfield, CA. The record was last updated on May 27, 2015.