Individual
LAUREN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 GREENVIEW DR, STATE COLLEGE, PA 16803-2106
(814) 466-6396
(814) 466-6056
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 231-7100
(814) 238-0790
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2201001835
VA
231H00000X
Audiologist
Primary
AT006988
PA
Other
Enumeration date
06/22/2021
Last updated
08/26/2024
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