Provider Demographics
NPI:1386809101
Name:FAABORG, SARAH LYNN (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:FAABORG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4715
Mailing Address - Country:US
Mailing Address - Phone:406-317-4800
Mailing Address - Fax:406-416-4800
Practice Address - Street 1:323 E FRONT ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4715
Practice Address - Country:US
Practice Address - Phone:406-317-4800
Practice Address - Fax:406-416-4800
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLL18166207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine