Provider Demographics
NPI:1639947146
Name:SANCHEZ, LAURI STARR
Entity Type:Individual
Prefix:
First Name:LAURI
Middle Name:STARR
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13103 E 31ST CT APT 603
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74134-3442
Mailing Address - Country:US
Mailing Address - Phone:918-402-6221
Mailing Address - Fax:
Practice Address - Street 1:13103 E 31ST CT APT 603
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74134-3442
Practice Address - Country:US
Practice Address - Phone:918-402-6221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator