Individual
DR. LEANNE BARBARA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5713 GRAY RD, WESLEY CHAPEL, FL 33543-4514
(813) 991-0097
(813) 973-1738
Mailing address
1904 REBECCA RD, LUTZ, FL 33548-4540
(813) 991-0097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17166
FL
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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