Individual
LORI ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
37 W FAIRMONT AVE, SAVANNAH, GA 31406-3455
(912) 925-8266
(912) 925-8264
Mailing address
1709 E HENRY ST, SAVANNAH, GA 31404-2314
(912) 695-1277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006768
GA
Other
Enumeration date
04/25/2023
Last updated
05/02/2023
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