Russell Lee Anderson, M.D. Valid NPI

Individual provider · Family Medicine Physician · Covington, LA

NPI

1760538037

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

R042107 (LA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-26

Last updated

2007-07-08