DERMATOLOGY ASSOCIATES OF TYLER
NPI 1932134079
Dermatology in Tyler, TX

Active since July 11, 2006CLIA Certified · 2 labs
1367 DOMINION PLZ, TYLER, TX 75703(903) 534-6200 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dermatology Associates Of Tyler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY ASSOCIATES OF TYLER (NPI 1932134079) is a healthcare organization registered as a dermatology in Tyler, Texas and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Andrea Lynne Stein, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1932134079
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAWRENCE L ANDERSON MD PA
Location Address1367 DOMINION PLZTyler, TX 75703-1013
Mailing Address1367 Dominion PlzTyler, TX 75703-1013
Organization SubpartNo
Authorized OfficialAndrea Lynne SteinPractice Administrator · (903) 534-6200
Enumeration DateJuly 11, 2006
Last NPPES UpdateMay 22, 2008
NPI 1932134079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
1367 DOMINION PLZ, Tyler, TX 75703

Other Names 1

Doing Business AsDermatology Associates Of Tyler

Other Identifiers 4

Medicaid085541301TX
Medicare PIN00U08ZTX
OtherCN9571TX · Railroad Medicare Ptan
Other00U08ZTX · Blue Cross And Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2095656

Dermatology Associates Of Tyler · Tyler, TX
Active · expires May 7, 2027
CLIA Number45D2095656
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorBrad S. Graham
Laboratory Phone(903) 534-6200
Laboratory LocationDermatology Associates Of Tyler1720 S Beckham Ave, Suite 102, Tyler, TX 75701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2095660

Dermatology Associates Of Tyler · Palestine, TX
Active · expires May 7, 2027
CLIA Number45D2095660
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorBrad S. Graham
Laboratory Phone(903) 534-6200
Laboratory LocationDermatology Associates Of Tyler300 Willow Creek Parkway, Suite 120, Palestine, TX 75801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
1367 DOMINION PLZ
TYLER, TX 75703
Physician Assistant (Medical)
1367 DOMINION PLZ
TYLER, TX 75703
Dermatology
1367 DOMINION PLZ
TYLER, TX 75703
Dermatology (Dermatopathology)
1367 DOMINION PLZ
TYLER, TX 75703
Dermatology (MOHS-Micrographic Surgery)
1367 DOMINION PLZ
TYLER, TX 75703
Nurse Practitioner
1367 DOMINION PLZ
TYLER, TX 75703
Dermatology
1367 DOMINION PLZ
TYLER, TX 75703
Dermatology
1367 DOMINION PLZ
TYLER, TX 75703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence L Anderson MD PA's NPI number?

The NPI number for Lawrence L Anderson MD PA is 1932134079. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Dermatology Associates Of Tyler.

Where is Lawrence L Anderson MD PA located?

Lawrence L Anderson MD PA is located at 1367 Dominion Plz, Tyler, TX 75703. The listed phone number is (903) 534-6200.

What is Lawrence L Anderson MD PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Lawrence L Anderson MD PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lawrence L Anderson MD PA was last updated on May 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.