Lacey Sullivan

NPI #1114412103 in Hoover, Alabama

Provider Information

NPI Number
1114412103
Entity Type
Individual
Name
Lacey Sullivan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Jun 22, 2018
Last Updated
Apr 8, 2024

Practice Location

Address
1015 BROCKS GAP PKWY
City
Hoover
State
Alabama
ZIP Code
35244-4032
Phone
(205) 982-0112

Specialties & Taxonomy Codes

Specialty
Dentist

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