Individual
DR. LAURA ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
6500 CREEDMOOR RD, SUITE 114, RALEIGH, NC 27613-3697
(919) 782-3590
Mailing address
1207 1/2 COURTLAND DR, RALEIGH, NC 27604-1338
(954) 242-0232
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9264
NC
Other
Enumeration date
09/24/2009
Last updated
10/16/2012
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