Individual
LAURE F SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
VAMHCS, BUILDING 14H, PERRY POINT, MD 21902
(410) 642-2411
Mailing address
127 BAYVIEW BLVD, NORTH EAST, MD 21901-5600
(410) 935-1428
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D01528
MD
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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