Provider Demographics
NPI:1619293990
Name:LAMARCH, SARA TERESE (DC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:TERESE
Last Name:LAMARCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SHORELINE HWY BLDG C
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3639
Mailing Address - Country:US
Mailing Address - Phone:415-967-0206
Mailing Address - Fax:415-332-6780
Practice Address - Street 1:150 SHORELINE HWY BLDG C
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3639
Practice Address - Country:US
Practice Address - Phone:415-967-0206
Practice Address - Fax:415-332-6780
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor