| Doctor Name: | LENCOLA ANDERSON |
| NPI Number: | 1285059691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | NA8404803 |
| Business Practice Address: | 4812 Chickadee Dr Balch Springs, TX - 751804016 |
| Business Phone Number: | 4695103058 |
| Business Fax Number: | |
| Mailing Address: | 4812 Chickadee Dr, BALCH SPRINGS |
| State: | TX |
| Postal Code: | 751804016 |
| Phone Number: | 4695103058 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2014 |
| NPI Last Update Date: | 02/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | NA8404803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |