MEDICARE: DR. SARAH JAYNE LANDERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	0433337	KS
2	207L00000X	Anesthesiology Physician	MD-48799	IA
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD-48799	IA
4	207L00000X	Anesthesiology Physician	0433337	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427177336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH JAYNE LANDERS MD

Provider Business Mailing Address
First Line	:	3120 MESA WAY STE A
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4203
Country	:	US
Telephone Number	:	785-424-3358
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 MESA WAY
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4200
Country	:	US
Telephone Number	:	785-292-9242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	03/18/2022

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