Individual
LAUREN SUZANNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 GARLAND HALL, OXFORD, MS 38677
(601) 278-3208
Mailing address
242 MASSEE CIR, OXFORD, MS 38655-4159
(601) 278-3208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2025
Last updated
06/28/2025
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