DR. Lara Sullivan, MD

NPI #1194782854 in Overland Park, Kansas

Provider Information

NPI Number: 1194782854
Entity Type: Individual
Name: DR. Lara Sullivan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Apr 27, 2006
Last Updated: Sep 19, 2007

Practice Location

Address: 14300 METCALF AVE
Address 2: STE. 122
City: Overland Park
State: Kansas
ZIP Code: 66223-2987
Phone: (913) 825-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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