Provider Demographics
NPI:1669028429
Name:LEMOINE, SARAH ELIZABETH (FNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:LEMOINE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11516 ROBIN HOOD DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-6160
Mailing Address - Country:US
Mailing Address - Phone:225-505-3971
Mailing Address - Fax:
Practice Address - Street 1:7399 HIGHWAY 44 STE A
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-8199
Practice Address - Country:US
Practice Address - Phone:225-257-1040
Practice Address - Fax:225-257-1043
Is Sole Proprietor?:No
Enumeration Date:2019-08-16
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN135187163WW0101X
LAFNP205033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory