Individual
LAUREN JOHNSON O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1102 NE 4TH ST, BEND, OR 97701-4533
(541) 389-0450
Mailing address
1102 NE 4TH ST, BEND, OR 97701-4533
(541) 389-0450
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
DO26683
OR
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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