Provider Demographics
NPI:1205840931
Name:LYNAUGH, SARAH K (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:LYNAUGH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-3909
Mailing Address - Fax:
Practice Address - Street 1:21 DWIGHT ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106
Practice Address - Country:US
Practice Address - Phone:413-794-4555
Practice Address - Fax:413-794-9448
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2018-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA218087207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2014173Medicaid
H89901Medicare UPIN
H89901Medicare UPIN