Provider Demographics
NPI:1760653083
Name:PAILET, SANFORD LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:LYNN
Last Name:PAILET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 SAINT CHARLES AVE
Mailing Address - Street 2:#9A
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3400
Mailing Address - Country:US
Mailing Address - Phone:504-527-0123
Mailing Address - Fax:
Practice Address - Street 1:625 SAINT CHARLES AVE
Practice Address - Street 2:#9A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3400
Practice Address - Country:US
Practice Address - Phone:504-527-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.009175207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology