LISA CAROL SULLIVAN

CHARLESTON, WV
NPI1215379482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  APRN63044NP)
Enumeration Date2013-07-29
Last Update Date2015-12-30
Business Address
-- LISA CAROL SULLIVAN FNP-BC
501 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 304-388-5432
Mailing Address
-- LISA CAROL SULLIVAN FNP-BC
3200 MACCORKLE AVENUE
CHARLESTON, WV 25304
Phone number: 304-388-5590
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