Provider Demographics
NPI:1205832235
Name:SANCHEZ, LURIS (MD)
Entity Type:Individual
Prefix:
First Name:LURIS
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 CRESWELL LN
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-5882
Mailing Address - Country:US
Mailing Address - Phone:337-942-8088
Mailing Address - Fax:337-942-8018
Practice Address - Street 1:828 CRESWELL LN
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5882
Practice Address - Country:US
Practice Address - Phone:337-942-8088
Practice Address - Fax:337-942-8018
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10955R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1999296Medicaid
F93658Medicare UPIN
5U839Medicare ID - Type Unspecified