Individual
STEPHANIE K SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1212 MCCONVILLE RD, LYNCHBURG, VA 24502-4536
(434) 237-8886
(434) 239-6807
Mailing address
1212 MCCONVILLE RD, LYNCHBURG, VA 24502-4536
(434) 237-8886
(434) 239-6807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101055475
VA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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