Individual
DR. MEGAN ALTA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
600 ONTARIO ST, STORM LAKE, IA 50588-1845
(712) 732-3233
Mailing address
600 ONTARIO ST, STORM LAKE, IA 50588-1845
(712) 732-3233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002494
IA
Other
Enumeration date
04/23/2009
Last updated
03/24/2014
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