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Individual

DR. TARA L. SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
245 CENTER ST, AUBURN, ME 04210-6169
(207) 786-2500
(207) 786-2503
Mailing address
475 LISBON ST, LEWISTON, ME 04240-7418
(207) 786-2500
(207) 786-2503

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5072
MA

Other

Enumeration date
07/31/2016
Last updated
07/26/2023
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