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General NPI Number Information
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NPI Number | 1144429663
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Entity Type | Individual
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Provider Name | LOIS UDO SAKORAFAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 710 CENTER ST
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City | COLUMBUS
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State | GA
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Zip | 31901-1527
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Country | US
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Telephone | 706-649-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 449 W 23RD ST
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City | PANAMA CITY
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State | FL
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Zip | 32405-4507
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Country | US
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Telephone | 850-769-8341
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 14
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 84893-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 036174170
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License Number State | IL
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