Provider Demographics
NPI:1467782144
Name:MONAGHAN, SARAH LEE BROWNE (LAC, BS,)
Entity Type:Individual
Prefix:MS
First Name:SARAH LEE
Middle Name:BROWNE
Last Name:MONAGHAN
Suffix:
Gender:F
Credentials:LAC, BS,
Other - Prefix:
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Mailing Address - Street 1:6013 PRESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3020
Mailing Address - Country:US
Mailing Address - Phone:410-340-3993
Mailing Address - Fax:
Practice Address - Street 1:659 S SALISBURY BLVD
Practice Address - Street 2:STE 4
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5453
Practice Address - Country:US
Practice Address - Phone:410-340-3993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-03
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00531171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist