| Sarah Ann Lallaman, DO | |
|
855 Mankato Ave, Winona, MN 55987-4868 | |
| (507) 454-3650 | |
| (507) 457-7737 |
| Full Name | Sarah Ann Lallaman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 855 Mankato Ave, Winona, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639334873 | NPI | - | NPPES |
| 53932 | Other | MN | MN LICENSE NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2008018197 (Missouri) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 53932 (Minnesota) | Primary |
| Entity Name | Winona Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Ann Lallaman, DO 855 Mankato Ave, Winona, MN 55987-4868 Ph: (507) 454-3650 | Sarah Ann Lallaman, DO 855 Mankato Ave, Winona, MN 55987-4868 Ph: (507) 454-3650 |
Dr. Vivian R Rider, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1122 W Highway 61, Winona, MN 55987 Phone: 507-615-0600 | |
Sheila A Hadaway, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672 | |
Miss Kelli Ostermann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3680 |