MEDICARE: LORENA SANCHEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	884171069	OTHER	NV	HOMEMAKER CAREGIVER AGANCY

General Provider Information

NPI Number	:	1851169106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORENA SANCHEZ

Provider Business Mailing Address
First Line	:	3029 S MOJAVE RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2394
Country	:	US
Telephone Number	:	702-762-5095
Fax Number	:

Provider Business Practice Location Address
First Line	:	3029 S MOJAVE RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2394
Country	:	US
Telephone Number	:	702-762-5095
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2023
Last Update Date	:	12/15/2023

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Directions to “ LORENA SANCHEZ ” Practice Location

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