Provider Demographics
NPI:1992150585
Name:LEMIEUX, SARAH ANN (LPN)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ANN
Last Name:LEMIEUX
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:ZYNDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2631 37TH ST N
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-6804
Mailing Address - Country:US
Mailing Address - Phone:715-459-4545
Mailing Address - Fax:
Practice Address - Street 1:2631 37TH ST N
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-6804
Practice Address - Country:US
Practice Address - Phone:715-459-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI306864164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse