Provider Demographics
NPI:1407856891
Name:LUMLEY, SARAH (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LUMLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 EASY ST
Mailing Address - Street 2:SUITE 127
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3129
Mailing Address - Country:US
Mailing Address - Phone:724-430-8755
Mailing Address - Fax:724-434-1659
Practice Address - Street 1:204 MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-2654
Practice Address - Country:US
Practice Address - Phone:724-626-7335
Practice Address - Fax:724-626-7339
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010452L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015441410016Medicaid
PA341011OtherHIGHMARK
PA080182863OtherRAILROAD MEDICARE
PA123407OtherMEDPLUS
PA142623OtherHEALTH AMERICA
PA304166OtherUPMC
PAP002316OtherGATEWAY
PA050707Medicare ID - Type Unspecified
PA080182863OtherRAILROAD MEDICARE