Individual
MS. SARAH ELIZABETH DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREW AVE, FORT RIUCKER, AL 36362-5333
(334) 255-7341
Mailing address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREW AVE, FORT RUCKER, AL 36362-5333
(334) 255-7341
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
278693-1
NY
164W00000X
Licensed Practical Nurse
Primary
PN5230612
FL
Other
Enumeration date
06/12/2009
Last updated
10/01/2018
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