Provider Demographics
NPI:1316237647
Name:ARGUELLO, SARA LAGRAND (MD, MPHTM)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:LAGRAND
Last Name:ARGUELLO
Suffix:
Gender:F
Credentials:MD, MPHTM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3436 MAGAZINE ST # 310
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2413
Mailing Address - Country:US
Mailing Address - Phone:505-270-8641
Mailing Address - Fax:
Practice Address - Street 1:2601 TULANE AVE SUITE 500
Practice Address - Street 2:CRESCENTCARE
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119
Practice Address - Country:US
Practice Address - Phone:504-821-2601
Practice Address - Fax:504-267-3014
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA206934207RI0200X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program