| NPI | 1134136393 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-01 |
| Last Updated | 2017-02-28 |
| Mailing Address | 200 St. Claire Place, Suite 150 Stevensville, MD 21666 United States Phone: (410) 643-3795 | Fax: (410) 643-3797 📍 View Map |
| Primary Practice Address | 200 St. Claire Place, Suite 150 Stevensville, MD 21666 United States Phone: (410) 643-3795 | Fax: (410) 643-3797 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MD | 023155000 | - |
| MEDICAID | LA | 1045993 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207N00000X – Dermatology | MD | D0065976 |
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About NPI 1134136393
Lisa L. Anderson M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1134136393. The primary specialty listed is Dermatology. The provider is located in Stevensville, MD. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134136393?
NPI 1134136393 belongs to Lisa L. Anderson M.D., a Dermatology in Stevensville, MD. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134136393 active?
The current status of NPI 1134136393 in the NPPES registry is Active. The record was last updated on 2017-02-28.
What specialty is NPI 1134136393?
NPI 1134136393 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134136393?
You can verify NPI 1134136393 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134136393?
The primary practice address on file for NPI 1134136393 is 200 St. Claire Place, Stevensville, MD 21666. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134136393 issued?
NPI 1134136393 was first issued (enumerated) on 2006-08-01. The NPPES record was last updated on 2017-02-28.
Practice Location Map
Lisa L. Anderson is located at 200 St. Claire Place, Stevensville, MD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lisa L. Anderson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134136393. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | D0065976 | MD |