Provider Demographics
NPI:1760613541
Name:LINCOLN, SARAH TAYLOR (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:TAYLOR
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1165 IMPERIAL DR
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6555
Mailing Address - Country:US
Mailing Address - Phone:301-800-7770
Mailing Address - Fax:301-800-7891
Practice Address - Street 1:1165 IMPERIAL DR
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6555
Practice Address - Country:US
Practice Address - Phone:301-800-7770
Practice Address - Fax:301-800-7891
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0004016363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical