Lila Sullivan

NPI #1073884904 in Shelbyville, Illinois

Provider Information

NPI Number
1073884904
Entity Type
Individual
Name
Lila Sullivan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jan 24, 2012
Last Updated
Jan 24, 2012

Practice Location

Address
1810 W SOUTH 3RD ST
ZIP Code
62565-9595
Phone
(217) 774-2113

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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