Provider Demographics
NPI:1316224744
Name:DEVANE, SARAH (RD,LD, IBCLC, RLC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DEVANE
Suffix:
Gender:F
Credentials:RD,LD, IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 N WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-1044
Mailing Address - Country:US
Mailing Address - Phone:405-935-4000
Mailing Address - Fax:405-849-6902
Practice Address - Street 1:6100 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-1044
Practice Address - Country:US
Practice Address - Phone:405-935-4000
Practice Address - Fax:405-849-6902
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN