| Carie Alise Leilani Anderson | |
|
25761 Lawton Ave Loma Linda CA 92354-3823 | |
| (530) 321-7971 | |
| (909) 478-7669 |
| Full Name | Carie Alise Leilani Anderson |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 25761 Lawton Ave, Loma Linda, California |
| Authorized Official Name and Position | Carie Leilani Anderson (PROVIDER) |
| Authorized Official Contact | 5303217971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carie Alise Leilani Anderson 25761 Lawton Ave Loma Linda CA 92354-3823 Ph: (530) 321-7971 | Carie Alise Leilani Anderson 25761 Lawton Ave Loma Linda CA 92354-3823 Ph: (530) 321-7971 |
| NPI Number | 1811343924 |
|---|---|
| Provider Enumeration Date | 05/06/2016 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811343924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP60710618 (Washington) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 95005662 (California) | Primary |
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