Doctor Name: | LAURA FRANCES SANDOVAL |
NPI Number: | 1588985113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 0116022760 |
Business Practice Address: | 720 N Lapeer Rd Lake Orion, MI - 483624011 |
Business Phone Number: | 2486907243 |
Business Fax Number: | |
Mailing Address: | 720 N Lapeer Rd, LAKE ORION |
State: | MI |
Postal Code: | 483624011 |
Phone Number: | 2486907243 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2010 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0116022760 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |