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General NPI Number Information
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NPI Number | 1841290301
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Entity Type | Individual
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Provider Name | LAWRENCE D SANCHEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 2040 JUNIPER AVE
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City | SLAYTON
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State | MN
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Zip | 56172-1017
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Country | US
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Telephone | 507-836-6153
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Fax | 507-836-8787
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Provider Business Mailing Address
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Address Line | 8410 S 575 W
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City | MORGANTOWN
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State | IN
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Zip | 46160-8492
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Country | US
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Telephone | 414-640-4945
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 76316
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41458
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01074437A
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License Number State | IN
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