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NPI Code Detail

MEDICARE: MRS. SARAH KATHERINE LAYE M.S., R.D.

MEDICARE: MRS. SARAH KATHERINE LAYE M.S., R.D.
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
1133V00000XRegistered Dietitian954666CA

General Provider Information

NPI Number : 1851327316
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH KATHERINE LAYE M.S., R.D.
Provider Business Mailing Address
First Line : 1460 BELLO DR
Second Line :
City : DIXON
State : CA
Zip : 95620-4838
Country : US
Telephone Number : 707-435-2211
Fax Number : 707-421-4740
Provider Business Practice Location Address
First Line : 2101 COURAGE DR
Second Line : MS 10-100, SCH AND SS
City : FAIRFIELD
State : CA
Zip : 94533-6717
Country : US
Telephone Number : 707-435-2213
Fax Number : 707-421-4740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 07/08/2007

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