Provider Demographics
NPI:1023750247
Name:PALMER, SARA K (LAC DIPL AC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:K
Last Name:PALMER
Suffix:
Gender:F
Credentials:LAC DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 LANIER PL
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-2848
Mailing Address - Country:US
Mailing Address - Phone:703-789-4779
Mailing Address - Fax:
Practice Address - Street 1:4001 9TH ST N STE 230
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1900
Practice Address - Country:US
Practice Address - Phone:703-522-7637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121001044171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist