Provider Demographics
NPI:1124217682
Name:LANCIONE, SARAH S (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:LANCIONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48258 NATIONAL RD W
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-9705
Mailing Address - Country:US
Mailing Address - Phone:740-695-1811
Mailing Address - Fax:740-695-3206
Practice Address - Street 1:48258 NATIONAL RD W
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-9705
Practice Address - Country:US
Practice Address - Phone:740-695-1811
Practice Address - Fax:740-695-3206
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35051074G207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1000681000Medicaid
OH0611636Medicaid
OHA72466Medicare UPIN
OH0751442Medicare PIN