Individual
SARA LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 405, ALLENTOWN, PA 18103-6224
(610) 402-9116
(610) 402-9610
Mailing address
1250 S CEDAR CREST BLVD STE 205, ALLENTOWN, PA 18103-6271
(104) 029-1166
(610) 402-9610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06833
NC
363A00000X
Physician Assistant
MA062684
PA
363AM0700X
Medical Physician Assistant
Primary
MA062684
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA062684
STATE LICENSE
PA
Enumeration date
01/12/2017
Last updated
07/18/2025
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