Provider Demographics
NPI:1376005082
Name:DECAREAUX, SARAH CATHERINE (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:CATHERINE
Last Name:DECAREAUX
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 1:520 W LAGRANGE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-1512
Mailing Address - Country:US
Mailing Address - Phone:337-540-2748
Mailing Address - Fax:
Practice Address - Street 1:4211 LAKE STREET
Practice Address - Street 2:SUITE 20
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605
Practice Address - Country:US
Practice Address - Phone:337-990-5497
Practice Address - Fax:337-990-5570
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1846111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor