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Lauren Christine Sanderson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

13100 Manchester Rd Ste 70, Saint Louis, MO 63131-1703

PECOS Enrollment

This provider is enrolled in PECOS as LAUREN SANDERSON.

Based on the most recent information from CMS, provider Lauren Christine Sanderson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1205315009
Provider Type
Individual
Full Name
Sanderson, Lauren Christine
Gender
Female

Sole Proprietor
No
Enumeration Date
8/13/2018
Last Updated
10/15/2020

Contact Information

Practice Location

13100 Manchester Rd Ste 70, Saint Louis, MO 63131-1703

(314) 492-2323

(314) 582-1010

Mailing Location

13100 Manchester Rd Ste 70, Saint Louis, MO 63131-1703

(313) 492-2323

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 2018029470 Missouri

Lauren Christine Sanderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shahinaj, Loreta

Brice, Mary H

Patel, Sejal P

Bybee, Umaree

Hopper, Stacy

Simms, Stephanie M

Fegan, Jessica Leigh

Frederic, Ashley Kell

Tench, Cynthia C

Ravas, Cecilia Yvonne