Provider Demographics
NPI:1952783227
Name:LAVY, SARAH R (ANP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:LAVY
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Gender:F
Credentials:ANP
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Mailing Address - Street 1:112 PIPER HILL DR
Mailing Address - Street 2:STE 12
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1690
Mailing Address - Country:US
Mailing Address - Phone:314-434-6130
Mailing Address - Fax:636-244-4209
Practice Address - Street 1:112 PIPER HILL DR
Practice Address - Street 2:STE 12
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1690
Practice Address - Country:US
Practice Address - Phone:314-434-6130
Practice Address - Fax:636-244-4209
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2017-12-12
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Provider Licenses
StateLicense IDTaxonomies
MO2015010677363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health