| Lauren Pitstick Sanderson, | |
|
7532 W Sand Lake Rd, Orlando, FL 32819-5110 | |
| (407) 363-0052 | |
| Not Available |
| Full Name | Lauren Pitstick Sanderson |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 7532 W Sand Lake Rd, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831616119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH12261 (Florida) | Primary |
| Provider Name | Heathrow Chiropractic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083918023 PECOS PAC ID: 9032393947 Enrollment ID: O20110418000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Pitstick Sanderson, 7532 W Sand Lake Rd, Orlando, FL 32819-5110 Ph: (407) 363-0052 | Lauren Pitstick Sanderson, 7532 W Sand Lake Rd, Orlando, FL 32819-5110 Ph: (407) 363-0052 |
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