Sack, Lauren

Sack, Lauren is an individual health care provider with primary practice located at 16915 Highway 67 Ste A , Statesboro GA 30458-5819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sack, Lauren can be contacted via phone (912) 681-2500.

Contact Information

Primary practice address
16915 Highway 67 Ste A Statesboro GA 30458-5819
Phone: (912) 681-2500
Fax: (912) 681-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6383 Georgia

Profile Details

NPI number 1386919405
LBN Legal business name Sack, Lauren
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Mar 17th, 2018 - about 8 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 1386919405 NPPES
Georgia MEDICAID 003134896C
Georgia MEDICAID 003134896E
Georgia MEDICAID 003134896D

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