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Individual

LORRY LYN SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11602 LAKE UNDERHILL RD STE 129, ORLANDO, FL 32825-4460
(407) 277-5400
Mailing address
10913 MOSS PARK RD UNIT 935, ORLANDO, FL 32832-6062
(239) 398-4206

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI7028
FL

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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