| Doctor Name: | MRS. LISA ANN ANDERSSON |
| NPI Number: | 1043548100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 26NJ00267100 |
| Business Practice Address: | 31 Lakewood Dr Saratoga Springs, NY - 128662807 |
| Business Phone Number: | 7324135462 |
| Business Fax Number: | |
| Mailing Address: | 31 Lakewood Dr, SARATOGA SPRINGS |
| State: | NY |
| Postal Code: | 128662807 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2009 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00267100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |