Individual
LONNIE THOMAS SULLIVAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 MAGNOLIA ST, GREENSBORO, NC 27410-1309
(336) 938-0800
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2022-00563
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
07/02/2025
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