Individual
DR. LAUREN JOYCE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
96 JONATHAN LUCAS STREET CSB 816; MSC 630, CHARLESTON, SC 29425-0001
(843) 792-3167
Mailing address
96 JONATHAN LUCAS STREET CSB 816; MSC 630, CHARLESTON, SC 29425-0001
(843) 792-3167
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
92909
SC
Other
Enumeration date
03/28/2016
Last updated
09/17/2024
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