Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 01239 | MD |
Y | 213EP1101X | Primary Podiatric Medicine | PO551 | DC |
NPI | 1063617645 |
---|---|
Provider Name | Dr. Pamela Sauer |
First Address | Lancaster, PA 17602-6127 |
Second Address | Lancaster, PA 17602-6127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 10/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
336051 | (02) | DC |