Lestourgeon, Sara M

Lestourgeon, Sara M is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 870 , Phoenix AZ 85013-4218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lestourgeon, Sara M can be contacted via phone (480) 964-2273.

Contact Information

Primary practice address
500 W Thomas Rd Ste 870 Phoenix AZ 85013-4218
Phone: (480) 964-2273
Fax: (602) 266-8358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37049 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36703 Arizona

Profile Details

NPI number 1427054329
LBN Legal business name Lestourgeon, Sara M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated May 9th, 2023 - about 2 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 1427054329 NPPES
Kentucky Other 000000277261 ANTHEM
Kentucky MEDICAID 64055106 ANTHEM

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