Individual
MRS. LAUREN JACQUELINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-4740
Mailing address
258 BURBANK RD, LONGMEADOW, MA 01106-1525
(860) 916-4856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
06/18/2024
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