Provider Demographics
NPI:1801271440
Name:LARK, SARA B (FNP)
Entity type:Individual
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First Name:SARA
Middle Name:B
Last Name:LARK
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:6719 GOVERNOR GC PEERY HWY
Mailing Address - Street 2:STE 2400
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641
Mailing Address - Country:US
Mailing Address - Phone:276-836-6778
Mailing Address - Fax:877-639-0057
Practice Address - Street 1:111 FASHION RD STE D
Practice Address - Street 2:
Practice Address - City:POUNDING MILL
Practice Address - State:VA
Practice Address - Zip Code:24637-1200
Practice Address - Country:US
Practice Address - Phone:276-596-6375
Practice Address - Fax:276-963-0919
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-24
Last Update Date:2019-07-25
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Provider Licenses
StateLicense IDTaxonomies
VA0024172689364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health