Healthcare Provider Details

I. General information

NPI: 1639791312
Provider Name (Legal Business Name): SARA INFIELD LAVELLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARA INFIELD MD

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PATEWOOD DR STE 150
GREENVILLE SC
29615-6349
US

IV. Provider business mailing address

10 PATEWOOD DR STE 150
GREENVILLE SC
29615-6349
US

V. Phone/Fax

Practice location:
  • Phone: 864-454-5612
  • Fax:
Mailing address:
  • Phone: 864-455-5777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number84117
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: