Healthcare Provider Details

I. General information

NPI: 1700302650
Provider Name (Legal Business Name): SARAH LIANN LAWLER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS SARAH LIANN HOELSCHER

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 OZARK TRAIL DR STE 105
ELLISVILLE MO
63011-2156
US

IV. Provider business mailing address

18 DEBBIE DR
SAINT PETERS MO
63376-2110
US

V. Phone/Fax

Practice location:
  • Phone: 636-207-6600
  • Fax:
Mailing address:
  • Phone: 314-229-5124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2017013463
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: