Look up the most recent NPI and PECOS records

Lanetta Anderson

Specialist

Other Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Lanetta Anderson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1366437543
Provider Type
Individual
Full Name
Anderson, Lanetta
Title
Mrs.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/14/2005
Last Updated
3/11/2011

Contact Information

Practice Location

1469 Poplar Ave, Memphis, TN 38104-2934

(901) 276-3222

(901) 257-2006

Mailing Location

1469 Poplar Ave, Memphis, TN 38104-2934

(901) 276-3222

(901) 257-2006

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License MD0000028428 Tennessee

Lanetta Anderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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