Individual
LAUREN MICHELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGCNS-BC
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3794
Mailing address
35 WINTERBERRY LN, TEWKSBURY, MA 01876-4274
(617) 894-2063
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN2261895
MA
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN2261895
MA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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