Provider Demographics
NPI:1073633129
Name:ANDERSON, LORI JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:JEAN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2630 S VEITCH ST
Mailing Address - Street 2:#407
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3025
Mailing Address - Country:US
Mailing Address - Phone:424-731-2588
Mailing Address - Fax:
Practice Address - Street 1:HEALTH CARE FELLOW US REP MICHAEL BURGESS MD
Practice Address - Street 2:USHOUSE OF REPRESENTATIVES 2241 RAYBURN HOUSE OFFC BLDG
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20515-0001
Practice Address - Country:US
Practice Address - Phone:202-225-7772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2022-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00698142084P0800X
CAA768892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry