Larry Simon Anderson in Lynnwood - Diagnostic Radiology

Larry Simon Anderson - NPI 1215924774

Larry Simon Anderson is a Diagnostic Radiology in Lynnwood, Washington. Larry Simon Anderson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Larry Simon Anderson is 1215924774. The last update date is 2015-02-04.

Larry Simon Anderson's current location address is 19020 33rd Ave W, Lynnwood, Washington. You can contact this provider via phone number 4255631500 and fax number 4255631374. The mailing address for Larry Simon Anderson is 19020 33rd Ave W, Lynnwood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Simon Anderson
Address 19020 33rd Ave W, Lynnwood, Washington
Phone Number 4255631500
Fax Number 4255631374
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1215924774
Provider Enumeration Date 2005-09-30
Last Updated Date 2015-02-04

Provider Mailing Address Detail

Address 19020 33rd Ave W
City Lynnwood
State Washington (WA)
Post Code 980364746
Phone Number 4255631500
Fax Number 4255631374

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No MD00010119
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
115842 WA LNI PROVIDER ID
8197105 WA --

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FAQs about Larry Simon Anderson

What is the Larry Simon Anderson's unique identification number?

The Larry Simon Anderson has been assigned the NPI (National Provider Identifier) Number 1215924774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Larry Simon Anderson?

The Larry Simon Anderson is situated at 19020 33Rd Ave W, in the city of Lynnwood, state of WA, with the zip code 980364746.

What is Larry Simon Anderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Larry Simon Anderson is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.

On what date did Larry Simon Anderson receive its 1215924774 assignment from the Centers for Medicare & Medicaid Services?

The Larry Simon Anderson was assigned its 1215924774 on 2005-09-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Larry Simon Anderson most recently updated or revised?

The information pertaining to Larry Simon Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-04.

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