Provider Demographics
NPI:1689697914
Name:LAMICHANE, SARA LYNN (DMD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:LYNN
Last Name:LAMICHANE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:LYNN
Other - Last Name:HORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 EISENHOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4308
Mailing Address - Country:US
Mailing Address - Phone:717-394-3945
Mailing Address - Fax:
Practice Address - Street 1:12 EISENHOWER BLVD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4308
Practice Address - Country:US
Practice Address - Phone:717-394-3945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA214851223G0001X
PADS0372581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice