Individual
MRS. LAKIN SELLERS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
319 S 13TH AVE, LAUREL, MS 39440-4342
(601) 426-2140
(601) 340-3265
Mailing address
319 S 13TH AVE, LAUREL, MS 39440-4342
(601) 426-2140
(601) 340-3265
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905232
MS
Other
Enumeration date
03/15/2022
Last updated
05/03/2022
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