Provider Demographics
NPI:1831930601
Name:LILLIAN, SARAH (PHD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LILLIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 30TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-2036
Mailing Address - Country:US
Mailing Address - Phone:612-470-4890
Mailing Address - Fax:
Practice Address - Street 1:3108 30TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-2036
Practice Address - Country:US
Practice Address - Phone:612-470-4890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula