Organization
ELSYNERGY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA LUKKONEN SULLIVAN MM MA CCC-SLP (PRESIDENT)
(678) 825-6411
Entity
Organization
Contact information
Practice address
247 JACKSON ST, LAWRENCEVILLE, GA 30046-5705
(678) 825-6411
(678) 796-7611
Mailing address
247 JACKSON ST, LAWRENCEVILLE, GA 30046-5705
(678) 825-6411
(678) 796-7611
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SLP007119
GA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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