| Sarah Lee, M.d., L.l.c. | |
|
100 Lincoln Ave Ferriday LA 71334-2046 | |
| (318) 757-7000 | |
| (318) 757-7140 |
| Full Name | Sarah Lee, M.d., L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Lincoln Ave, Ferriday, Louisiana |
| Authorized Official Name and Position | Sarah Lee (OWNER, OPERATOR) |
| Authorized Official Contact | 3187577000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Lee, M.d., L.l.c. 100 Lincoln Ave Ferriday LA 71334-2046 Ph: (318) 757-7000 | Sarah Lee, M.d., L.l.c. 100 Lincoln Ave Ferriday LA 71334-2046 Ph: (318) 757-7000 |
| NPI Number | 1063677227 |
|---|---|
| Provider Enumeration Date | 07/26/2008 |
| Last Update Date | 07/26/2008 |
| Medicare PECOS PAC ID | 2769557388 |
|---|---|
| Medicare Enrollment ID | O20080818000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063677227 | NPI | - | NPPES |
| 1395269 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 08269R (Louisiana) | Primary |
| Provider Name | Sarah C Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811925571 PECOS PAC ID: 2567481864 Enrollment ID: I20051116000313 |
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