Individual
DR. LOIS BAUER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1205 YORK RD, SUITE 18, LUTHERVILLE, MD 21093-6210
(410) 583-6800
(410) 583-5259
Mailing address
1205 YORK RD, SUITE 18, LUTHERVILLE, MD 21093-6210
(410) 583-6800
(410) 583-5259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0052677
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699171800
—
MD
Enumeration date
02/09/2006
Last updated
05/11/2016
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