Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MD8300 | HI |
NPI | 1437133345 |
---|---|
Provider Name | Dr. Lynnae K. Sauvage |
First Address | Sarasota, FL 34242-1512 |
Second Address | Honolulu, HI 96826-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 06/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14P28 | BCBS (01) | FL |