MEDICARE: MRS. LOIS KATHERINE SANDERS CPNP

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	208000000X	Pediatrics Physician	AP121000	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0600005	OTHER	LA	PRESCRIPTIVE AUTHORITY
2	91200	OTHER		PEDIATRIC NURSING CERT BD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811917792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LOIS KATHERINE SANDERS CPNP

Provider Business Mailing Address
First Line	:	2001 N JEFFERSON AVE STE 300
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2375
Country	:	US
Telephone Number	:	903-572-9823
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 N JEFFERSON AVE
Second Line	:	STE 300
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2338
Country	:	US
Telephone Number	:	903-572-9823
Fax Number	:

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	04/22/2026

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