Provider Demographics
NPI:1518245075
Name:LAWRENCE, SARAH MARKHAM (PHARMD, MA, CGP)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARKHAM
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:PHARMD, MA, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8709 CHASE TAYLER PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-1341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8709 CHASE TAYLER PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1341
Practice Address - Country:US
Practice Address - Phone:502-635-7588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY015546183500000X
IN26024218A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist