Provider Demographics
NPI:1669001947
Name:SAUNDERS, LYDIA FIGUEROA (LASAC)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:FIGUEROA
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4626 N 16TH ST APT 1571
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-5155
Mailing Address - Country:US
Mailing Address - Phone:623-363-8895
Mailing Address - Fax:
Practice Address - Street 1:4626 N 16TH ST APT 1571
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-5155
Practice Address - Country:US
Practice Address - Phone:623-363-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health