Individual
SARA W MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8050
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LT4274
NH
208C00000X
Colon & Rectal Surgery Physician
014665
ME
208C00000X
Colon & Rectal Surgery Physician
21971
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154600000
—
ME
05
—
251740099
—
ME
Enumeration date
11/02/2006
Last updated
10/14/2021
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