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Dr. Lydell Anderson, MD
General Practice Physician in Fairfield, California
NPI 1467831214

Lydell Anderson is a General Practice Physician based in Fairfield, CA. Lydell Anderson practices in Fairfield, CA and has the professional credentials of MD. The NPI Number for Lydell Anderson is 1467831214 and holds a License No. G64999 (California).

The current practice location address for Lydell Anderson is 5055 Business Center Dr Ste 108, Fairfield, CA and can be reached out via phone at 707-863-8368.

Location: 5055 Business Center Dr Ste 108, Fairfield, CA, 94534-1668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467831214
Provider Name
Lydell Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5055 Business Center Dr Ste 108, Fairfield, CA, 94534-1668
Phone Number
707-863-8368
Fax Number
Provider Enumeration Date
05/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5055 Business Center Dr Ste 108
City
Fairfield
State
California
Zip
94534-1668
Phone Number
707-863-8368
Fax Number
person
Provider Business Mailing Address Details
Address
5055 Business Center Dr Ste 108
City
Fairfield
State
California
Zip
94534-1668
Phone Number
707-863-8368
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G64999 (California)
Definition
Definition to come...
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