Provider Demographics
NPI:1518255876
Name:LEXCEN, SARAH JO (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JO
Last Name:LEXCEN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:701 PARK AVE
Mailing Address - Street 2:P7
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1623
Mailing Address - Country:US
Mailing Address - Phone:612-873-6963
Mailing Address - Fax:612-904-4261
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:P7
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1623
Practice Address - Country:US
Practice Address - Phone:612-873-6963
Practice Address - Fax:612-904-4261
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2015-11-02
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant