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Individual

LARS THOMAS SATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3133 PROFESSIONAL DR, SUITE 20, AUBURN, CA 95603-2463
(530) 885-8821
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19747
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA19747
MEDICAL LICENSE
CA
Enumeration date
06/04/2009
Last updated
07/27/2015
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