Individual
DR. SANFORD JONATHAN LAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 NASHVILLE PIKE STE 100, GALLATIN, TN 37066-3154
(615) 230-8601
(615) 230-8670
Mailing address
1720 NASHVILLE PIKE STE 100, GALLATIN, TN 37066-3154
(615) 230-8601
(615) 230-8670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301407434
MI
207Q00000X
Family Medicine Physician
Primary
59735
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0806365081
BLUE CROSS OF MI
—
05
—
3454731
—
MI
Enumeration date
12/29/2005
Last updated
09/17/2019
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