Individual
ANDREW DAVID SANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-6864
Mailing address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-6864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.206591
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07684861
—
MS
05
—
2107526
—
LA
Enumeration date
03/19/2010
Last updated
01/04/2016
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