Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN ANDERSON, LD
ActiveMR. JOHN ANDERSON, LD is a 122400000X healthcare provider located in LACEY, Washington. NPI 1366560302 is currently active in the NPPES registry. Verify at CMS.
122400000X · LACEY, WA
Registration Details
- NPI Number
- 1366560302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2007 (19.202461291647 yrs)
- Last Updated
- Jul 8, 2007
- License
-
260 (WA)
Practice Information
- Address
-
4408 PACIFIC AVE SELACEY, WA, 985031119Browse WA providers · Browse ZIP 98503
- Phone
- 3604388299
- Fax
- 3604381399
- Primary Specialty
-
122400000X
122400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.