Individual
SARAH ASHLEIGH FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-2218
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
345486
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
08/07/2024
Last updated
03/17/2025
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