Provider Demographics
NPI:1770609802
Name:LANE, SARAH B (ND)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:B
Last Name:LANE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3700 S RUSSELL ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-8574
Mailing Address - Country:US
Mailing Address - Phone:406-541-3040
Mailing Address - Fax:406-541-3041
Practice Address - Street 1:3700 S RUSSELL ST
Practice Address - Street 2:SUITE 105
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-8574
Practice Address - Country:US
Practice Address - Phone:406-541-3040
Practice Address - Fax:406-541-3041
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT11175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath