Individual
LAURA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-3200
Mailing address
730 24TH ST NW APT 601, WASHINGTON, DC 20037-2549
(540) 514-2375
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI100000938
DC
Other
Enumeration date
10/11/2017
Last updated
09/29/2021
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