Healthcare Provider Details

I. General information

NPI: 1306362884
Provider Name (Legal Business Name): SARA ALICIA GUASCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2017
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 HOSPITAL DR
LEXINGTON NC
27292-6776
US

IV. Provider business mailing address

105 HOSPITAL DR
LEXINGTON NC
27292-6776
US

V. Phone/Fax

Practice location:
  • Phone: 336-713-0033
  • Fax: 336-713-0035
Mailing address:
  • Phone: 336-713-0033
  • Fax: 336-713-0035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number2024-03420
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: