DR. LYDELL ANDERSON M.D. NPI 1467831214

NPI Information

  • NPI: 1467831214
  • Provider Name: DR. LYDELL ANDERSON, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 5055 BUSINESS CENTER DR STE 108
    SUITE 108 PMB 224
    FAIRFIELD, CA
    ZIP 94534
  • Phone: (707) 863-8368

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NPI Details

DR. Lydell Anderson, M.D. is a general practice in Fairfield, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Lydell Anderson, M.D. NPI is 1467831214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5055 BUSINESS CENTER DR STE 108
SUITE 108 PMB 224
FAIRFIELD, CA
ZIP 94534-668
Phone: (707) 863-8368

The enumeration date for this NPI number is 5/27/2015 and was last updated on 5/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeG64999CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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