Provider Demographics
NPI:1386018646
Name:FOSTER, SARAH ALISA
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ALISA
Last Name:FOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9165 CORLETT DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70811-2318
Mailing Address - Country:US
Mailing Address - Phone:225-445-0009
Mailing Address - Fax:225-381-2171
Practice Address - Street 1:9165 CORLETT DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70811-2318
Practice Address - Country:US
Practice Address - Phone:225-445-0009
Practice Address - Fax:225-380-2171
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-23
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA600794486Medicaid