Individual
COURTNEY LYNN O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 STOCK ST, HANOVER, PA 17331-2276
(717) 637-1738
Mailing address
310 STOCK ST STE 3, HANOVER, PA 17331-2276
(717) 637-1738
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA006700
PA
Other
Enumeration date
10/19/2023
Last updated
06/11/2024
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