Provider Demographics
NPI:1144505686
Name:LEPULU, SARAH LYNN MENDAROS (RN)
Entity type:Individual
Prefix:MRS
First Name:SARAH LYNN
Middle Name:MENDAROS
Last Name:LEPULU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:1550 TECHNOLOGY DR UNIT 2104
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-3818
Mailing Address - Country:US
Mailing Address - Phone:408-786-6587
Mailing Address - Fax:
Practice Address - Street 1:2001 THE ALAMEDA
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1136
Practice Address - Country:US
Practice Address - Phone:408-261-7777
Practice Address - Fax:408-248-8652
Is Sole Proprietor?:No
Enumeration Date:2011-10-16
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA800933163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse