Lisa Sullivan, LMP

NPI #1649597857 in Bainbridge Island, Washington

Provider Information

NPI Number: 1649597857
Entity Type: Individual
Name: Lisa Sullivan, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Apr 27, 2010
Last Updated: Apr 27, 2010

Practice Location

Address: 748 WINSLOW WAY E
City: Bainbridge Island
State: Washington
ZIP Code: 98110-2410
Phone: (206) 842-2702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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