Individual
DR. LAWRENCE GUY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
036115220
IL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
49536
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012664
KAISER COMMERCIAL NUMBER
CO
05
—
036-115220
—
IL
05
—
52555321
—
CO
01
—
P000370961
MEDICARE RAILROAD
IL
Enumeration date
04/08/2006
Last updated
06/16/2021
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