Provider Demographics
NPI:1487609020
Name:HORN, SARA LEE (DC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:LEE
Last Name:HORN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LEE
Other - Last Name:HEUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:731 NE LAKEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1353
Mailing Address - Country:US
Mailing Address - Phone:816-373-3373
Mailing Address - Fax:816-373-2902
Practice Address - Street 1:731 NE LAKEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LEE'S SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1353
Practice Address - Country:US
Practice Address - Phone:816-373-3373
Practice Address - Fax:816-373-2902
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO005771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
15737016OtherBCBS
5771581Medicare ID - Type Unspecified
157373Medicare UPIN