Healthcare Provider Details

I. General information

NPI: 1891133468
Provider Name (Legal Business Name): LAUREN SANCHEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST FL 6
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

1825 4TH ST FL 6
SAN FRANCISCO CA
94143-2350
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7337
  • Fax: 415-502-2107
Mailing address:
  • Phone: 415-353-7337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA141840
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: