Provider Demographics
NPI:1225611940
Name:LANEY, SARAH (DPM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LANEY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SANFORD HEALTH 801 BROADWAY NORTH
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58122-0170
Mailing Address - Country:US
Mailing Address - Phone:701-234-5933
Mailing Address - Fax:701-234-7230
Practice Address - Street 1:801 BROADWAY NORTH
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58122-7927
Practice Address - Country:US
Practice Address - Phone:701-234-5933
Practice Address - Fax:701-234-7230
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program