Provider Demographics
NPI:1487016523
Name:LASKER, SARA (MED, MCHES, RMA, CDE)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:LASKER
Suffix:
Gender:F
Credentials:MED, MCHES, RMA, CDE
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:TORBET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7780 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7780 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-5407
Practice Address - Country:US
Practice Address - Phone:608-417-5191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator