Lauren Lee Sandefur, MD | |
901 E 2nd St Ste 201, Reno, NV 89502-1186 | |
(775) 982-5000 | |
(775) 982-3971 |
Full Name | Lauren Lee Sandefur |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 901 E 2nd St Ste 201, Reno, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073872867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | PG168320 (Oregon) | Secondary |
208000000X | Pediatrics | 17521 (Nevada) | Primary |
Entity Name | Community Care Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900 |
Mailing Address | Practice Location Address |
---|---|
Lauren Lee Sandefur, MD 850 Harvard Way, Reno, NV 89502-2055 Ph: (775) 982-5262 | Lauren Lee Sandefur, MD 901 E 2nd St Ste 201, Reno, NV 89502-1186 Ph: (775) 982-5000 |
Deborah Ivane Vydra, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5301 Reno Corporate Dr, Reno, NV 89511 Phone: 775-329-5555 | |
Susan E. Chambers-sorensen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Pringle Way, Suite 300, Reno, NV 89502 Phone: 775-982-6020 Fax: 775-982-6021 | |
Dr. Sonia Budhecha, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Pringle Way, 505, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900 | |
Lindsay Koppinger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10581 Double R Blvd, Reno, NV 89521 Phone: 775-324-0766 | |
Max Coppes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Pringle Way, Ste 505, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900 | |
Meredith Reynolds, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Jones St, Reno, NV 89503 Phone: 775-322-1880 Fax: 775-322-1808 |