Provider Demographics
NPI:1053886994
Name:SAUTEL, LAWRENCE WESLEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:WESLEY
Last Name:SAUTEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2170 WASHTENAW RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1744
Mailing Address - Country:US
Mailing Address - Phone:734-485-3899
Mailing Address - Fax:
Practice Address - Street 1:2170 WASHTENAW RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1744
Practice Address - Country:US
Practice Address - Phone:734-485-3899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist