Individual
DR. LAWRENCE D SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2040 JUNIPER AVE, SLAYTON, MN 56172-1017
(507) 836-6153
(507) 836-8787
Mailing address
8410 S 575 W, MORGANTOWN, IN 46160-8492
(414) 640-4945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01074437A
IN
207Q00000X
Family Medicine Physician
41458
WI
207Q00000X
Family Medicine Physician
76316
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01074437A
IN STATE LICENSE NUMBER
IN
05
—
1841290301
—
WI
05
—
300011519
—
IN
01
—
76316
MINNESOTA STATE LICENSE
MN
Enumeration date
07/27/2005
Last updated
04/22/2024
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