Individual
MS. LISA MEGHAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
1640 SELBY AVE APT 6, SAINT PAUL, MN 55104-7379
(651) 699-6571
Mailing address
1640 SELBY AVE APT 6, SAINT PAUL, MN 55104-7379
(651) 699-6571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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