Individual
MRS. LYNN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2851 S MIDWEST BLVD, GUTHRIE, OK 73044-7159
(405) 802-1312
Mailing address
2851 S MIDWEST BLVD, GUTHRIE, OK 73044-7159
(405) 802-1312
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DA11499
OK
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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