Provider Demographics
NPI:1427177336
Name:LANDERS, SARAH JAYNE (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JAYNE
Last Name:LANDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JAYNE
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3120 MESA WAY STE A
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4203
Mailing Address - Country:US
Mailing Address - Phone:785-424-3358
Mailing Address - Fax:
Practice Address - Street 1:3120 MESA WAY
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4200
Practice Address - Country:US
Practice Address - Phone:785-292-9242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0433337207LP2900X, 207L00000X
IAMD-48799207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200613550CMedicaid