Individual
LAUREN ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108A N MAIN ST, SUNDERLAND, MA 01375-9502
(413) 397-8986
Mailing address
210 LAKEVIEW RD, SHUTESBURY, MA 01072-9791
(413) 834-1475
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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