Lawrence, Sara Martin

Lawrence, Sara Martin is an individual health care provider with primary practice located at 700 S Main St , Moscow ID 83843. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Lawrence, Sara Martin can be contacted via phone (208) 882-4511.

Contact Information

Primary practice address
700 S Main St Moscow ID 83843
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-8093 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M8093 Idaho

Profile Details

NPI number 1982678579
LBN Legal business name Lawrence, Sara Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982678579 NPPES
Idaho MEDICAID 806013500

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