Provider Demographics
NPI:1053597823
Name:SANCHEZ, LAUREEN VR (LAC,LMT)
Entity type:Individual
Prefix:MRS
First Name:LAUREEN
Middle Name:VR
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LAC,LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PROSE ST
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-2315
Mailing Address - Country:US
Mailing Address - Phone:917-757-6950
Mailing Address - Fax:516-417-8598
Practice Address - Street 1:515 MADISON AVE
Practice Address - Street 2:3RD FLR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5403
Practice Address - Country:US
Practice Address - Phone:917-757-6950
Practice Address - Fax:212-355-8439
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003189-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist