Provider Demographics
NPI:1811917792
Name:SANDERS, LOIS KATHERINE (CPNP)
Entity type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:KATHERINE
Last Name:SANDERS
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MISS
Other - First Name:LOIS
Other - Middle Name:KATHERINE
Other - Last Name:SUMNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:2001 N JEFFERSON AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2338
Mailing Address - Country:US
Mailing Address - Phone:903-572-9823
Mailing Address - Fax:
Practice Address - Street 1:2001 N JEFFERSON AVE
Practice Address - Street 2:STE 300
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2338
Practice Address - Country:US
Practice Address - Phone:903-572-9823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP02390363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
91200OtherPEDIATRIC NURSING CERT BD
LA0600005OtherPRESCRIPTIVE AUTHORITY