Anderson, Lawrence Lazelle
Anderson, Lawrence Lazelle is an individual health care provider with primary practice located at 1367 Dominion Plaza , Tyler TX 75703-1013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Anderson, Lawrence Lazelle can be contacted via phone (903) 534-6200.Contact Information
Primary practice address
1367 Dominion Plaza
Tyler TX 75703-1013
Phone: (903) 534-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | J9612 | Texas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | J9612 | Texas |
Profile Details
| NPI number | 1134159627 |
|---|---|
| LBN Legal business name | Anderson, Lawrence Lazelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Sep 15th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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