Individual
LINDSEY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 HEATHERWOOD DR, COLCHESTER, CT 06415-1807
(860) 908-5689
Mailing address
16 BRENTWOOD DR STE A, ITHACA, NY 14850-1863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
01/08/2025
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