Provider Demographics
NPI:1699538900
Name:ERDMAN, SARA M (RD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:ERDMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44729 FOXBORO CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-3480
Mailing Address - Country:US
Mailing Address - Phone:661-400-5442
Mailing Address - Fax:
Practice Address - Street 1:44729 FOXBORO CT
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-3480
Practice Address - Country:US
Practice Address - Phone:661-400-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered