Healthcare Provider Details

I. General information

NPI: 1497264410
Provider Name (Legal Business Name): SARAH L LAWLER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 N STATE HIGHWAY 47
WARRENTON MO
63383-1108
US

IV. Provider business mailing address

18 DEBBIE DR
SAINT PETERS MO
63376-2110
US

V. Phone/Fax

Practice location:
  • Phone: 636-400-3213
  • 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: SARAH LIANN LAWLER
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: DC
Phone: 636-400-3213