Healthcare Provider Details

I. General information

NPI: 1427177336
Provider Name (Legal Business Name): SARAH JAYNE LANDERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH JAYNE CARLSON

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 03/18/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 MESA WAY
LAWRENCE KS
66049-4200
US

IV. Provider business mailing address

3120 MESA WAY STE A
LAWRENCE KS
66049-4203
US

V. Phone/Fax

Practice location:
  • Phone: 785-292-9242
  • Fax:
Mailing address:
  • Phone: 785-424-3358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD-48799
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0433337
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number0433337
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD-48799
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: