MEDICARE: SHARON LAGER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	NP9219	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	NPSY1	OTHER	ID	BLUE CROSS OF ID
3	000010150660	OTHER	ID	REGENCE BLUE SHIELD OF ID

General Provider Information

NPI Number	:	1174593537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON LAGER NP

Provider Business Mailing Address
First Line	:	8510 SEENO AVE
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-6050
Country	:	US
Telephone Number	:	208-440-2840
Fax Number	:

Provider Business Practice Location Address
First Line	:	7601 HOSPITAL DR
Second Line	:	SUITE 220
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5408
Country	:	US
Telephone Number	:	916-689-3433
Fax Number	:	916-689-8943

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	03/07/2023

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Directions to “ SHARON LAGER NP” Practice Location

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