Lisa Sullivan, PA-C

NPI #1184400335 in Vadnais Heights, Minnesota

Provider Information

NPI Number
1184400335
Entity Type
Individual
Name
Lisa Sullivan, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 5, 2023
Last Updated
Nov 10, 2025

Practice Location

Address
3580 ARCADE ST
ZIP Code
55127-7135
Phone
(651) 968-5201

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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