Provider Demographics
NPI:1164143277
Name:SARAH LAIOSA, PC
Entity Type:Organization
Organization Name:SARAH LAIOSA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LAIOSA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:541-573-3000
Mailing Address - Street 1:77 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BURNS
Mailing Address - State:OR
Mailing Address - Zip Code:97720-1544
Mailing Address - Country:US
Mailing Address - Phone:541-573-3000
Mailing Address - Fax:541-797-6158
Practice Address - Street 1:77 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BURNS
Practice Address - State:OR
Practice Address - Zip Code:97720-1544
Practice Address - Country:US
Practice Address - Phone:541-573-3000
Practice Address - Fax:541-797-6158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health