LORIE SULLIVAN

BAY SPRINGS, MS
NPI1518771161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  907055)
Enumeration Date2025-02-04
Last Update Date2025-02-04
Business Address
LORIE SULLIVAN
20 S SIXTH ST
BAY SPRINGS, MS 39422-9055
Phone number: 601-764-4501
Mailing Address
LORIE SULLIVAN
140 THOMPSON RD
LAKE, MS 39092-9495
Phone number: 601-527-2740