Provider Demographics
NPI:1316455298
Name:SANCHEZ, CAMILO ALBERTO (L AC)
Entity type:Individual
Prefix:
First Name:CAMILO
Middle Name:ALBERTO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14136 LANCASTER HWY
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-9303
Mailing Address - Country:US
Mailing Address - Phone:704-542-8088
Mailing Address - Fax:
Practice Address - Street 1:14136 LANCASTER HWY
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-9303
Practice Address - Country:US
Practice Address - Phone:704-542-8088
Practice Address - Fax:704-542-8088
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-13
Last Update Date:2018-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist