Lawrence L Anderson MD PA

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

LAWRENCE L ANDERSON MD PA

Doing business as

Derm Path Lab

Practice address

1367 Dominion PLZ
Tyler, TX 75703-1013

Phone

(903) 534-6200

Fax

(903) 939-0755

NPI assigned

May 29, 2008

Organization subpart

Yes

Parent organization

LAWRENCE L ANDERSON MD PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Lynne Stein, RN

Title

Practice Administrator

Phone

(903) 534-6200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Derm Path Lab Doing business as

Part of

Dermatology Associates

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lawrence L Anderson MD PA

  dba Dermatology Associates Of Tyler

  • Dermatology Physician
  • Tyler, TX
  • NPI 1932134079
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1013175751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 DOMINION PLZ",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031013",
            "telephone_number": "903-534-6200",
            "fax_number": "903-939-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 DOMINION PLZ",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031013",
            "telephone_number": "903-534-6200",
            "fax_number": "903-939-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE L ANDERSON MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWRENCE L ANDERSON MD PA",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "903-534-6200",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085541301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "CN9571",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derm Path Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Dowell (Arise Prosthetics)
• Kudirat Lawani
• John Alan Lawhon, R.PH.
• Brelee Lawings
• Jessica L Lawless
• Lawrence L Anderson MD PA (Dermatology Associates Of Tyler)
• Kristen Meier Lawrence, PHARMD
• Richard William Lawrence, LCSW
• Zachary M Lawrence, PHARMD
• Jacie Dawn Lawson, PT, DPT

• Dermatopathology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Dermatopathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.