Provider Demographics
NPI:1659533354
Name:SANCHEZ, LORNA LUZ (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LORNA
Middle Name:LUZ
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1640 W ROOSEVELT RD
Mailing Address - Street 2:(M/C 727) FIRST FLOOR ROOM 118
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-1316
Mailing Address - Country:US
Mailing Address - Phone:312-413-1839
Mailing Address - Fax:312-413-1593
Practice Address - Street 1:1640 W ROOSEVELT RD
Practice Address - Street 2:(M/C 727) FIRST FLOOR ROOM 118
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1316
Practice Address - Country:US
Practice Address - Phone:312-413-1839
Practice Address - Fax:312-413-1593
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL071007485103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical