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Search › Louisiana › 101YA0400X

Mark Anderson, RAC, CCDP, CCGC

NPI 1184825705 · on the registry since 2007

Practice

Address
4105 Kirkman St
Lake Charles, LA 70607
Phone
(337) 475-8738
Fax
(337) 475-8054
Organisation at this address
State Of La/Dhh/Obh
Genoa Healthcare Llc
Department Of Health And Hospitals
Imperial Calcasieu Human Services Authority
Imperial Calcasieu Human Services Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana