Individual
LISA M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20787
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273355
AMI MEDICARE PIN
NE
05
—
47078180813
—
NE
01
—
NA1330008
SMI MEDICARE PIN
NE
Enumeration date
05/01/2006
Last updated
01/20/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up