Individual
LAUREN K SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3726 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-1800
(314) 351-5150
(314) 351-6885
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070024396
IL
225100000X
Physical Therapist
Primary
2020034322
MO
Other
Enumeration date
06/10/2019
Last updated
10/12/2020
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