MS. Lisa Renee Sullivan, PA-C
NPI #1811205750 in Belleville, Michigan
Provider Information
- NPI Number
- 1811205750
- Entity Type
- Individual
- Name
- MS. Lisa Renee Sullivan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 14, 2010
- Last Updated
- Jan 8, 2014
Practice Location
- Address
- 44305 HARMONY LN
- City
- Belleville
- State
- Michigan
- ZIP Code
- 48111-2449
- Phone
- (734) 716-5588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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