Individual
LAURA E. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E 2ND ST STE 400, RENO, NV 89502-1198
(775) 982-2400
(775) 982-2888
Mailing address
1155 MILL ST # MSM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-3901
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17429
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114032200
—
FL
05
—
201226460
—
IN
Enumeration date
06/18/2008
Last updated
05/28/2024
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