Provider Demographics
NPI:1568631943
Name:HALL, SARA LINDSAY (MS RD LDN CDE)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:LINDSAY
Last Name:HALL
Suffix:
Gender:F
Credentials:MS RD LDN CDE
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:CATHERINE
Other - Last Name:LINDSAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL ROAD
Mailing Address - Street 2:BROOKVILLE HOSPITAL
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825
Mailing Address - Country:US
Mailing Address - Phone:814-849-1451
Mailing Address - Fax:814-849-6219
Practice Address - Street 1:100 HOSPITAL ROAD
Practice Address - Street 2:BROOKVILLE HOSPITAL
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825
Practice Address - Country:US
Practice Address - Phone:814-849-1451
Practice Address - Fax:814-849-6219
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000228133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered