Individual
LILLIAN MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508
(907) 562-2277
(907) 563-3460
Mailing address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121825
AK
Other
Enumeration date
07/18/2017
Last updated
01/03/2019
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