SARAH ANNE LASALLE

FORT WAYNE, IN
NPI1023399128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  02004030A)
Additional Taxonomies207L00000X Anesthesiology
(Licence: PA  0S015648)
Enumeration Date2011-09-01
Last Update Date2018-10-22
Business Address
SARAH ANNE LASALLE D.O.
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
SARAH ANNE LASALLE D.O.
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551