Basic Information
Provider Information
NPI: 1497011548
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANCHEZ
FirstName: APRIL
MiddleName: TAYLOR
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 180 N 5TH ST
Address2:  
City: PONCHATOULA
State: LA
PostalCode: 704542532
CountryCode: US
TelephoneNumber: 9853707546
FaxNumber: 9853707765
Practice Location
Address1: 29799 WALKER RD S
Address2:  
City: WALKER
State: LA
PostalCode: 70785
CountryCode: US
TelephoneNumber: 2259980500
FaxNumber: 2252434493
Other Information
ProviderEnumerationDate: 04/03/2012
LastUpdateDate: 09/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207N00000X301650LAY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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