Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lawrence M Anderson, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1942766761

Lawrence M Anderson, AGNP-C is a Nurse Practitioner in Waterbury, Connecticut. Qualified in 2018, 8 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

92 Harwood Rd
Waterbury, CT 06706-2420
Phone: (203) 598-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 12.008084 (CT)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 12.008084 (CT)

Record details

NPI number1942766761
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2019
Last updated in NPPESMay 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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