Provider Demographics
NPI:1124581384
Name:LEWIS, SARAH JANE (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 JUNCTION AVE
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:SD
Mailing Address - Zip Code:57785-2358
Mailing Address - Country:US
Mailing Address - Phone:605-720-2600
Mailing Address - Fax:605-720-2611
Practice Address - Street 1:2140 JUNCTION AVE
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:SD
Practice Address - Zip Code:57785-2358
Practice Address - Country:US
Practice Address - Phone:605-720-2600
Practice Address - Fax:605-720-2611
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD13612207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine