Lucille Martha Sullivan, PA-C
NPI #1346834033 in Keyport, New Jersey
Provider Information
- NPI Number
- 1346834033
- Entity Type
- Individual
- Name
- Lucille Martha Sullivan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 24, 2021
- Last Updated
- Mar 20, 2021
Practice Location
- Address
- 250 MAPLE PL
- City
- Keyport
- State
- New Jersey
- ZIP Code
- 07735-1144
- Phone
- (732) 739-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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