Sara Lynne Frey, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00016076 Issued in WA

Practice address

491 Reserve Way
Walla Walla, WA 99362-0703

Phone

(509) 301-4363

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sara Lynne Lugar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1528113073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 RESERVE WAY",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620703",
            "telephone_number": "509-301-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 RESERVE WAY",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620703",
            "telephone_number": "509-301-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "SARA",
        "middle_name": "LYNNE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00016076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "LUGAR",
            "middle_name": "LYNNE",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Fowler, LSWAIC
• Nathan D Franklin, M.A.
• Mary Elizabeth Freeman, R.D. C.D.E.
• Mark D Frewing, DPT
• Delia Sarah Frey, LSWAIC
• Amy L Fries, RN, BSN
• Susan C. Friesen, FNP, ARNP
• Trevin Fritschka, DPT
• Michael K Frizelle, FNP
• Nathan Fry, ATC

• Specialist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.