Individual
DR. LARA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14300 METCALF AVE, STE. 122, OVERLAND PARK, KS 66223-2987
(913) 825-4700
(913) 825-4701
Mailing address
14300 METCALF AVE, STE. 122, OVERLAND PARK, KS 66223-2987
(913) 825-4700
(913) 825-4701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0429414
KS
Other
Enumeration date
04/27/2006
Last updated
09/19/2007
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