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Individual
MRS. LORRAINE LOUISE SULLIVAN
Active
Individual
MRS. LORRAINE LOUISE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP81643
ME
363LP0200X
Pediatric Nurse Practitioner
R016719
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263670099
—
ME
Enumeration date
10/05/2006
Last updated
12/01/2014
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