Provider Demographics
NPI:1841750882
Name:LANE, SARAH ROSE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ROSE
Last Name:LANE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 JOHNSON FY RD NE STE 800
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1708
Mailing Address - Country:US
Mailing Address - Phone:404-252-1137
Mailing Address - Fax:866-912-2454
Practice Address - Street 1:1100 JOHNSON FY RD NE STE 800
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1708
Practice Address - Country:US
Practice Address - Phone:404-252-1137
Practice Address - Fax:866-912-2454
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA95439207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology