Individual
LAUREN KATHLEEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
9500 EUCLID AVE, DESK M17, CLEVELAND, OH 44195-0001
(216) 445-1733
Mailing address
9500 EUCLID AVE, DESK M17, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6386
OH
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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