Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 212588 | NY |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 212588 | NY |
NPI | 1699717710 |
---|---|
Provider Name | Dr. Lisa Thomas Sager |
First Address | Lagrangeville, NY 12540-5128 |
Second Address | Poughkeepsie, NY 12601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 28/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02148492 | (05) | NY |
G85838 | (02) | NY |