Vanessa Rae Anderson, APRN-NPC
Individual provider Active NPI Dermatology Physician · Lawton, OK
NPI 1558287490 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1558287490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 229721 (OK)
- Practice address
- 702 NW Sheridan Rd
Lawton, OK 73505-5203 - Phone
- (580) 576-3376
- NPI assigned
- Jun 25, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 229721 | OK | Yes |
Addresses
Primary practice location
702 NW Sheridan Rd
Lawton, OK 73505-5203
Mailing address
1303 Dahlia LN
Cache, OK 73527-7500
Other providers in Lawton, OK
- Jina Anderson
- Kara Anderson
- Michael Shawn Anderson
- Nekelle Anderson
- Quinton Anderson
- Andrews Dialysis LLC
- Jetta Ange
- Angela L. Stanley, LPC
- Tiffany Angell
- Ann Elizabeth Angiel
All providers in Lawton, OK · Dermatology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.