Provider Demographics
NPI:1225408800
Name:DORANS, SARA LYNN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:LYNN
Last Name:DORANS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:55 FRUIT ST.
Mailing Address - Street 2:WHITE 1
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-724-4100
Mailing Address - Fax:617-726-7415
Practice Address - Street 1:55 FRUIT ST.
Practice Address - Street 2:WHITE 1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-4100
Practice Address - Fax:617-726-7415
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
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Provider Licenses
StateLicense IDTaxonomies
MAPA5529363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant